Brandon Thomas Dickinson, M.D. Valid NPI
Individual provider · Gastroenterology Physician · Provo, UT
- NPI
- 1770825713
- Type
- Individual (Type 1)
- Primary specialty
- Gastroenterology Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RG0100X
- License number
- 11676583-1205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-03-17
- Last updated
- 2023-11-27
Practice location
1055 N 500 W Ste 100
Provo, UT 84604-3305
(801) 374-1268