Organization · NPI-2

Albert M. Dickson MD

Family Medicine · Virginia Beach, VA

NPI number1255594867
StatusActive
Last updated in NPPESJul 3, 2008

Details

NPI
1255594867
Entity type
Organization (NPI-2)
Legal business name
Albert M. Dickson MD
Organization subpart
No
Enumeration date
Jul 3, 2008
Last updated
Jul 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101014144VAYes

Practice location

1020 Independence Blvd
Ste 104
Virginia Beach, VA 23455-5500

Phone 757-460-5959 · Fax 757-460-9873

Mailing address

1020 Independence Blvd
Ste 104
Virginia Beach, VA 23455-5500

Phone 757-460-5959 · Fax 757-460-9873

Authorized official

Mary Otto
Secretary
7574605959

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