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Search › Idaho › 101YM0800X

Michael Dickson

NPI 1114107042 · on the registry since 2007

Practice

Address
8100 W Emerald St Ste 150
Boise, ID 83704
Phone
(208) 375-0752
Fax
(208) 375-0796
Organisation at this address
Affinity Inc
Affinity Inc
Affinity Inc
Affinity, Inc
Affinity Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho