Samuel David Dickerson
Samuel David Dickerson is a General Practice Physician in Tacoma, Washington. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
9040 Jackson AveTacoma, WA 98431-0001
Phone: (253) 968-1420
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 0101288217 (VA) |
|---|
Record details
| NPI number | 1801651765 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 19, 2024 |
| Last updated in NPPES | January 28, 2026 |
| Certification date | January 28, 2026 |
| Mailing address | 9040 Jackson Ave, Tacoma, WA 98431-0001 |
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Dr. Christine Dougherty
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