SAMUEL DICKERSON

General Practice

Active Individual
NPI: 1801651765

Practice Address

9040 JACKSON AVE
Tacoma, WA 98431

Phone: (253) 968-1420

Specialties

Specialty Code Primary License
General Practice 208D00000X Yes 0101288217 (VA)

Frequently Asked Questions

NPI 1801651765 is the National Provider Identifier for SAMUEL DICKERSON, a General Practice provider located in Tacoma, WA. This NPI was enumerated on February 19, 2024.
SAMUEL DICKERSON practices at 9040 JACKSON AVE, Tacoma, WA 98431.

Quick Facts

NPI
1801651765
Type
Individual
Enumerated
Feb 19, 2024
Last Updated
Jan 28, 2026

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