Keith Dickerson in Grand Junction - Family Medicine

Keith Dickerson - NPI 1043296924

Keith Dickerson is a Family Medicine in Grand Junction, Colorado. Keith Dickerson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Keith Dickerson is 1043296924. The last update date is 2011-04-04.

Keith Dickerson's current location address is 1160 Patterson Rd, Grand Junction, Colorado. You can contact this provider via phone number 9702982800 and fax number 9702987522. The mailing address for Keith Dickerson is 1160 Patterson Rd, Grand Junction, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Dickerson
Address 1160 Patterson Rd, Grand Junction, Colorado
Phone Number 9702982800
Fax Number 9702987522
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043296924
Provider Enumeration Date 2005-12-21
Last Updated Date 2011-04-04

Provider Mailing Address Detail

Address 1160 Patterson Rd
City Grand Junction
State Colorado (CO)
Post Code 815068275
Phone Number 9702982800
Fax Number 9702987522

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 42576
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1470825 CO --

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FAQs about Keith Dickerson

What is the unique 10-digit identification code assigned to Keith Dickerson by the Centers for Medicare & Medicaid Services?

The Keith Dickerson has been issued the NPI (National Provider Identifier) 1043296924, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Keith Dickerson is located?

The Keith Dickerson is situated at the following address: 1160 Patterson Rd, Grand Junction, CO, 815068275.

What is Keith Dickerson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Keith Dickerson's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

When did Keith Dickerson receive its 1043296924 assignment?

The Keith Dickerson was assigned its 1043296924 on 2005-12-21, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Keith Dickerson last refreshed?

The information related to the Keith Dickerson, including its address, specialty, and other relevant details, was last updated on 2011-04-04.

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