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Search › Oklahoma › 171M00000X

Chase Dickerson

NPI 1649981481 · on the registry since 2022

Practice

Address
108 W Main St
Tishomingo, OK 73460
Phone
(580) 371-3019
Organisation at this address
Main Medical Clinic Llc
Lighthouse Behavioral Wellness Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2022-12-13

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 Oklahoma