DAVID V DICK

ST LUKE'S CLINIC, LLC

Dr DAVID V DICK is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2009.

Contact

ST LUKE'S CLINIC, LLC

801 POLE LINE RD W
TWIN FALLS
ID
833015810

Tel: 2083812088

DAVID V DICK Information

Npi 1053649855
Pac Id 8628107844
Professional Enrollment Id I20160209002751
Last Name DICK
First Name DAVID
Middle Name V
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST LUKE'S CLINIC, LLC
Group Practice Pac Id 1052217478
Number Of Group Practice Members 230
Line 1 Street Address 801 POLE LINE RD W
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TWIN FALLS
State ID
Zip Code 833015810
Phone Number 2083812088
Hospital Affiliation Ccn 1 130002
Hospital Affiliation Lbn 1 ST LUKES MAGIC VALLEY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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