TAKARA DICKSON, PHYSICIAN ASSISTANT
Physician Assistant - Medical
Active
Individual
NPI: 1184249146
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 60134 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant - Medical | 363AM0700X | Yes | PA60134 (CA) |
Frequently Asked Questions
NPI 1184249146 is the National Provider Identifier for TAKARA DICKSON, PHYSICIAN ASSISTANT, a Physician Assistant - Medical provider located in Fairfield, CA. This NPI was enumerated on June 15, 2020.
TAKARA DICKSON, PHYSICIAN ASSISTANT practices at 1860 PENNSYLVANIA AVE CA, STE 110, Fairfield, CA 94533.
Quick Facts
- NPI
- 1184249146
- Type
- Individual
- Enumerated
- Jun 15, 2020
- Last Updated
- Jan 25, 2023
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