| Dr Otto Frederick Dickman Iv, MD | |
|
90 West Main, Emery Medical Center, Castle Dale, UT 84513-0607 | |
| (435) 381-2305 | |
| (435) 381-4535 |
| Full Name | Dr Otto Frederick Dickman Iv |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 90 West Main, Castle Dale, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619065943 | NPI | - | NPPES |
| 621762357076 | Medicaid | UT | |
| 621762357080 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 495-6304-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Otto Frederick Dickman Iv, MD Po Box 607, Emery Medical Center, Castle Dale, UT 84513-0607 Ph: (435) 381-2305 | Dr Otto Frederick Dickman Iv, MD 90 West Main, Emery Medical Center, Castle Dale, UT 84513-0607 Ph: (435) 381-2305 |