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Contact Information

JOHN C DICKSON, MD
2425 DAVE WARD DR STE 401
CONWAY, AR72034
 Phone: 870-972-0063
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOHN C DICKSON · (Male)

NPI Number 1902292246
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2015
Last updated 08/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-10417
Hospital affiliation(s)
  • CONWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2302 COLLEGE AVENUE
    CONWAY, AR 72034
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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