Search › Arizona › 253J00000X
Elvis Dickson
NPI 1477152916 · on the registry since 2020 · sole proprietor
Practice
- Address
- 10904 E Sebring Ave
Mesa, AZ 85212 - Phone
- (480) 399-3727
- Organisation at this address
- Open Arms Youth Homes
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-20
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 Arizona