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Dr. Daniel Jackson Dickman, DO
Diagnostic Radiology Physician in Boise, Idaho
NPI 1902256548

Daniel Jackson Dickman is a Diagnostic Radiology Physician based in Boise, ID and is specialized in Diagnostic Radiology. Daniel Jackson Dickman practices in Boise, ID and has the professional credentials of DO. The NPI Number for Daniel Jackson Dickman is 1902256548 and holds a License No. 009081 (Idaho).

The current practice location address for Daniel Jackson Dickman is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2809 and via fax at 208-381-1791.

Location: 190 E Bannock St, Boise, ID, 83703-5404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902256548
Provider Name
Daniel Jackson Dickman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
190 E Bannock St, Boise, ID, 83703-5404
Phone Number
208-381-2809
Fax Number
208-381-1791
Provider Enumeration Date
06/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-2809
Fax Number
208-381-1791
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-2809
Fax Number
208-381-1791
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(New Mexico)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
R2701 (Arizona)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
009081 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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