Whalio Doctors

NPI 1457606279

John D Dickinson, DO

Practitioner Neurological Surgery Physician Idaho Falls, ID

Practice location

Address
2353 Coronado St, Idaho Falls, ID 83404-7407
Phone
(208) 542-4181
Fax
(208) 542-4182

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence O-1102 (ID)

Registry record

NPI
1457606279
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jul 2012
Record last updated
4 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.