Individual provider · Type 1 NPI

Samuel David Dickerson

General Practice Physician · Tacoma, WA

NPI number 1801651765 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Call (253) 968-1420 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X0101288217 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1801651765

Samuel David Dickerson's National Provider Identifier is 1801651765, issued on Feb 19, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 28, 2026.