person
Karen Dickerson, PA-C
Medical Physician Assistant in Pocatello, Idaho
NPI 1760597462

Karen Dickerson is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. Karen Dickerson practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Karen Dickerson is 1760597462 and holds a License No. PA566 (Idaho).

The current practice location address for Karen Dickerson is 1352 E Center St, Pocatello, ID and can be reached out via phone at 208-234-2001 and via fax at 208-232-2195.

Location: 1352 E Center St, Pocatello, ID, 83205-0049
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Provider Profile Details
NPI Number
1760597462
Provider Name
Karen Dickerson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1352 E Center St, Pocatello, ID, 83205-0049
Phone Number
208-234-2001
Fax Number
208-232-2195
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8073207000 05 ID
institution
Provider Business Practice Location Address Details
Address
1352 E Center St
City
State
Zip
83201-4734
Phone Number
208-234-2001
Fax Number
208-232-2195
person
Provider Business Mailing Address Details
Address
1352 E Center St
City
State
Zip
83201-4734
Phone Number
208-234-2001
Fax Number
208-232-2195
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA566 (Idaho)
Definition
Definition to come...
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