Dr. Daniel Jackson Dickman, DO
Dr. Daniel Jackson Dickman, DO is a Diagnostic Radiology in Boise, Idaho. Qualified in 2016, 10 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Arizona, Idaho and New Mexico.
- Years since qualifying
- 10
- Licensed in
- AZ, ID, NM
- In the registry since
- 2016
- Specialties on file
- 4
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-2809
Fax: (208) 381-1791
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence O-1709 (ID) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 009081 (AZ) |
| Surgery Physician | Taxonomy 208600000X · Licence R2701 (AZ) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NM) |
Record details
| NPI number | 1902256548 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 14, 2016 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |
| Mailing address | 2894 W Neff St, Boise, ID 83703-5404 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Boise Radiology Group Pllc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Boise
-
Ian C Davey, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2161
-
Neil C Davey, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2161
-
Dr. Geoffry De Gennaro Jr., MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2094
-
Quinn A Demordaunt, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2094
-
Samuel Douglass, DO
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2121
-
Michael T Fisher, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2094
-
Michael A Fuchs, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2094
-
Vicken Garabedian, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2161