Malcolm J. Dickerson, M.D., P.C.
Organization Active NPI Family Medicine Physician · Eldon, MO
NPI 1033440342 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1033440342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R5N38 (MO)
- Legal business name
- MALCOLM J. DICKERSON, M.D., P.C.
- Practice address
- 411 W 4TH St
Eldon, MO 65026-1919 - Phone
- (573) 392-9200
- Fax
- (573) 392-4626
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Vicki Jo Routon
- Title
- Practice Manager
- Phone
- (573) 392-9200
National Provider Directory
Locations
411 W 4th St
Eldon, MO 65026
Phone (573) 392-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | R5N38 | MO | Yes |
Addresses
Primary practice location
411 W 4TH St
Eldon, MO 65026-1919
Mailing address
411 W 4TH St
Eldon, MO 65026-1919
Phone (573) 392-9200
Other providers in Eldon, MO
- Taylor Elizabeth Liska
- Christine Ann Livek
- Tiffany R Lucas
- Claire Luetkemeyer
- Ethan Dale Luttrell
- Sidney Ann Mehrhoff
- Manuel L Mendez Jr.
- Lisa Ann Mertens
- Joseph M Meystrik
- Miller County Ambulance District
All providers in Eldon, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.