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Contact Information

PATRICK C DICKERSON, MD
1000 S 52ND ST
ROGERS, AR72758
 Phone: 479-271-9607
 Fax: 479-271-2133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PATRICK C DICKERSON · (Male)

NPI Number 1467718619
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2012
Last updated 08/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E12109
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2710 RIFE MEDICAL LANE
    ROGERS, AR 72758
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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