Charles Wayne Dickerson in Duncan - Family Medicine
Charles Wayne Dickerson - NPI 1962433748
Charles Wayne Dickerson is a Family Medicine in Duncan, Oklahoma. Charles Wayne Dickerson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles Wayne Dickerson is 1962433748. The last update date is 2011-09-13.
Charles Wayne Dickerson's current location address is 1601 Brookwood Ave, Duncan, Oklahoma. You can contact this provider via phone number 5802523232 and fax number 5802524893. The mailing address for Charles Wayne Dickerson is 1601 Brookwood Ave, Duncan, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Wayne Dickerson |
|---|---|
| Address | 1601 Brookwood Ave, Duncan, Oklahoma |
| Phone Number | 5802523232 |
| Fax Number | 5802524893 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962433748 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2011-09-13 |
Provider Mailing Address Detail
| Address | 1601 Brookwood Ave |
|---|---|
| City | Duncan |
| State | Oklahoma (OK) |
| Post Code | 735331360 |
| Phone Number | 5802523232 |
| Fax Number | 5802524893 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 14590 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 731260610001 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Charles Wayne Dickerson by the Centers for Medicare & Medicaid Services?
The Charles Wayne Dickerson has been assigned the NPI (National Provider Identifier) 1962433748. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles Wayne Dickerson's physical address?
The Charles Wayne Dickerson is physically located at 1601 Brookwood Ave, in the city of Duncan, OK, with the postal code 735331360.
What is Charles Wayne Dickerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Wayne Dickerson's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962433748 to Charles Wayne Dickerson?
The Centers for Medicare & Medicaid Services assigned the 1962433748 to Charles Wayne Dickerson on 2006-07-06.
When was the information regarding Charles Wayne Dickerson most recently updated?
The details pertaining to the Charles Wayne Dickerson, including its address, specialty, and other relevant information, were last refreshed on 2011-09-13.