Individual provider · Type 1 NPI

Daniel Jackson Dickman, DO

Diagnostic Radiology Physician · Boise, ID

NPI number 1902256548 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-2809 Map

Fax (208) 381-1791

Mailing address

2894 W Neff St
Boise, ID 83703-5404

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X009081 (AZ)
Surgery Physician 208600000XR2701 (AZ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XO-1709 (ID)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1902256548

Daniel Jackson Dickman, DO's National Provider Identifier is 1902256548, issued on Jun 14, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2022.