DAVID CARROLL DICKSON

SHENANDOAH, IA
NPI1134246895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224L00000X Pedorthist
(Licence: IA  074625)
Additional Taxonomies246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2007-03-26
Last Update Date2015-10-06
Business Address
Mr. DAVID CARROLL DICKSON 1.Certified Pedorthi
612 W. SHERIDAN AVENUE
SHENANDOAH, IA 51601
Phone number: 712-246-2635
Mailing Address
Mr. DAVID CARROLL DICKSON 1.Certified Pedorthi
612 W. SHERIDAN AVENUE JAY DRUG C. (DCD PEDORTHICS)
SHENANDOAH, IA 51601
Phone number: 712-246-2635