John R Dickerson, M.D.
Neurological Surgery in Wichita, KS. Individual provider (NPI-1).
NPI number1225059025
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1225059025
- Entity type
- Individual (NPI-1)
- Name
- John R Dickerson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Jan 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 0430242 | KS | Yes |
Practice location
3223 N Webb RdSuite 1
Wichita, KS 67226-8175
Phone 316-609-2600 · Fax 316-609-2800
Mailing address
3223 N Webb RdSuite 1
Wichita, KS 67226-8175
Phone 316-609-2600 · Fax 316-609-2800
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