| 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 |
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