Dr Otto Frederick Dickman Iv, MD | |
90 West Main, Emery Medical Center, Castle Dale, UT 84513-0607 | |
(435) 381-2305 | |
(435) 381-4535 |
Full Name | Dr Otto Frederick Dickman Iv |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 90 West Main, Castle Dale, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619065943 | NPI | - | NPPES |
621762357076 | Medicaid | UT | |
621762357080 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 495-6304-1205 (Utah) | Primary |
Mailing Address | Practice Location Address |
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Dr Otto Frederick Dickman Iv, MD Po Box 607, Emery Medical Center, Castle Dale, UT 84513-0607 Ph: (435) 381-2305 | Dr Otto Frederick Dickman Iv, MD 90 West Main, Emery Medical Center, Castle Dale, UT 84513-0607 Ph: (435) 381-2305 |