Search › Pennsylvania › 163W00000X
Ervan Dickens
NPI 1689962953 · on the registry since 2011 · sole proprietor
Practice
- Address
- 6237 Wister St
Philadelphia, PA 19138 - Phone
- (215) 298-3772
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-20
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 Pennsylvania