TY DICKERSON

SALT LAKE CITY, UT
NPI1639102684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  6279497-1205)
Enumeration Date2006-07-09
Last Update Date2021-10-20
Business Address
Dr. TY DICKERSON M.D.
100 N MEDICAL DR PCMC, INPATIENT MEDICINE DIVISION
SALT LAKE CITY, UT 84113-1103
Phone number: 801-588-3813
Mailing Address
Dr. TY DICKERSON M.D.
1842 S 1100 E
SALT LAKE CITY, UT 84105-3414
Phone number: 585-224-5122
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