Thomas Lee Dickey, PA-C Valid NPI
Individual provider · Physician Assistant · Evans, CO
- NPI
- 1740287598
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 734 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-07-07
- Last updated
- 2010-09-07
Practice location
2930 11th Ave
Evans, CO 80620-1011
(970) 353-9403