| Albert M. Dickson Md | |
|
1020 Independence Blvd Ste 104 Virginia Beach VA 23455-5500 | |
| (757) 460-5959 | |
| (757) 460-9873 |
| Full Name | Albert M. Dickson Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1020 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Mary Otto (SECRETARY) |
| Authorized Official Contact | 7574605959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert M. Dickson Md 1020 Independence Blvd Ste 104 Virginia Beach VA 23455-5500 Ph: (757) 460-5959 | Albert M. Dickson Md 1020 Independence Blvd Ste 104 Virginia Beach VA 23455-5500 Ph: (757) 460-5959 |
| NPI Number | 1255594867 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255594867 | NPI | - | NPPES |
| 31203 | Other | OPTIMA | |
| 005605440 | Medicaid | VA | |
| 011897313 | Other | MEDICARE | |
| 033677 | Other | VA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101014144 (Virginia) | Primary |
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