Individual provider · Type 1 NPI

Myia Dickerson, DO

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1033059282 Active

Practice location

1 Childrens Way # 512-19A
Little Rock, AR 72202-3500

Call (501) 364-5115 Map

Mailing address

14405 E 96th Ter
Kansas City, MO 64139-1149

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033059282

Myia Dickerson, DO's National Provider Identifier is 1033059282, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Mar 30, 2026.