| Malcolm J. Dickerson, M.d., P.c. | |
| 
					411 W 4th St Eldon MO 65026-1919  | |
| (573) 392-9200 | |
| (573) 392-4626 | 
| Full Name | Malcolm J. Dickerson, M.d., P.c. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 411 W 4th St, Eldon, Missouri | 
| Authorized Official Name and Position | Vicki Jo Routon (PRACTICE MANAGER) | 
| Authorized Official Contact | 5733929200 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Malcolm J. Dickerson, M.d., P.c. 411 W 4th St Eldon MO 65026-1919 Ph: (573) 392-9200  | Malcolm J. Dickerson, M.d., P.c. 411 W 4th St Eldon MO 65026-1919 Ph: (573) 392-9200  | 
| NPI Number | 1033440342 | 
|---|---|
| Provider Enumeration Date | 01/26/2010 | 
| Last Update Date | 01/26/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033440342 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | R5N38 (Missouri) | Primary | 
Lake Regional Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654 Fax: 573-392-5692  | |
Eldon Family Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Business Highway 54 E Ste D, Eldon, MO 65026 Phone: 573-286-2638  | |
Richland Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 S Pine St, Eldon, MO 65026 Phone: 573-765-5131 Fax: 573-765-3122  | |
Ssm Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 E North St, Eldon, MO 65026 Phone: 573-392-3767 Fax: 573-392-1976  |