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Search › Utah › 208000000X

Ty Dickerson, M.D

NPI 1639102684 · on the registry since 2006

Practice

Address
100 N Medical Dr
Pcmc, Inpatient Medicine Division
Salt Lake City, UT 84113
Phone
(801) 588-3813
Organisation at this address
Intermountain Healthcare
U-U Pediatric Dermatology
Pediatric Radiology, P.C.
Intermountain Health Care
Peds Diagnostic Cardiology
Inferred from a shared address, not stated in the registry.
Clinicians at this address
169

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-20

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 Utah