Thomas A Dickinson, MD Valid NPI
Individual provider · Gastroenterology Physician · Provo, UT
- NPI
- 1376591354
- Type
- Individual (Type 1)
- Primary specialty
- Gastroenterology Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RG0100X
- License number
- 1660021205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-05-04
- Last updated
- 2023-11-27
Practice location
1055 N 500 W, Suite 100 Bldg B
Provo, UT 84604-3305
(801) 374-1268