Wade Alden Dickinson
Gynecologist
3152 N Millbrook Ave #suite B
Fresno
, California 93703-1459
Wade Alden Dickinson
Gynecologist
3152 N Millbrook Ave #suite B
Fresno
, California 93703-1459
(559) 495-3134
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Wade Alden Dickinson
- 3812 N 1st St
- Fresno, CA
- Zip : 93726-4301
- Fax : (559) 495-3134
- Phone : (559) 495-3120
Second Address
- Wade Alden Dickinson
- 3152 N Millbrook Ave #suite B
- Fresno, CA
- Zip : 93703-1459
- Fax : (559) 244-0148
- Phone : (559) 244-0133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | A62554 | CA |
National Provider Identifier
| NPI | 1104827922 |
|---|---|
| Provider Name | Wade Alden Dickinson |
| First Address | Fresno, CA 93726-4301 |
| Second Address | Fresno, CA 93703-1459 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 18/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A62554 | CAL STATE LIC NUMBER (01) | AR |
| H36036 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.