KAREN DICKERSON

POCATELLO, ID
NPI1760597462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA566)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- KAREN DICKERSON PA-C
1352 E CENTER ST
POCATELLO, ID 83201-4734
Phone number: 208-234-2001
Mailing Address
-- KAREN DICKERSON PA-C
PO BOX O
POCATELLO, ID 83205-0049
Phone number: 208-234-2001