Thad Shane Dickson, CPHIMS, PMP Valid NPI

Individual provider · Other Specialist/Technologist · Lakebay, WA

NPI

1386930733

Type

Individual (Type 1)

Primary specialty

Other Specialist/Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246Z00000X

License number

CPHIMS - 1592 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2011-06-23

Last updated

2014-05-07