Dr MARK T DICKINSON is a male medical professional, specializing in Urology. He graduated in 1997 from Loma Linda University School Of Medicine.
BEAVER MEDICAL GROUP, L.P.
6109 W RAMSEY ST
BANNING
CA
922203051
Tel: 9098450313
| Npi | 1215914239 |
| Pac Id | 8224035787 |
| Professional Enrollment Id | I20151030001037 |
| Last Name | DICKINSON |
| First Name | MARK |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Group Practice Pac Id | 0547164295 |
| Number Of Group Practice Members | 279 |
| Line 1 Street Address | 6109 W RAMSEY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BANNING |
| State | CA |
| Zip Code | 922203051 |
| Phone Number | 9098450313 |
| Hospital Affiliation Ccn 1 | 050272 |
| Hospital Affiliation Lbn 1 | REDLANDS COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 050327 |
| Hospital Affiliation Lbn 2 | LOMA LINDA UNIVERSITY MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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