Dale C Dickinson Jr.
ST LUKE'S CLINIC, LLC


Address: 709 N Lincoln Ave, Jerome, ID 83338-1851
Phone: 2088149500

Dale C Dickinson Jr. (NPI# 1518030493, PAC ID# 7113995721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.

Physician Overview

Nation Provider ID (NPI) 1518030493
PAC ID by PECOS 7113995721
Professional Enrollment ID I20091118000669
Full Name Dale C Dickinson Jr.
Organization Legal Name ST LUKE'S CLINIC, LLC
Address 709 N Lincoln Ave
Jerome
ID 83338-1851
Phone Number 2088149500
Gender M
Credential CNA
Graduation Year 1982
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Group Practice PAC ID 1052217478
Number of Group Practice Members 218
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
709 N Lincoln Ave, Jerome, ID 83338-1851 2088149500 ST LUKE'S CLINIC, LLC

Organization Information

Organization Legal Name ST LUKE'S CLINIC, LLC
Physicians 35

Physicians with the same organization

Name Specialty Organization Address
Michael D Lance Psychiatry St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Rajan Gosain Psychiatry St Luke's Clinic, LLC 228 Shoup Ave W, Twin Falls, ID 83301-5022
Tina M Peer Nurse Practitioner St Luke's Clinic, LLC 714 N College Rd, Suite A, Twin Falls, ID 83301-5812
Brian C Birch Pediatric Medicine St Luke's Clinic, LLC 762 N College Rd, Suite Aandb, Twin Falls, ID 83301-5392
Corinne Bartschi Nurse Practitioner St Luke's Clinic, LLC 775 Pole Line Rd W, Twin Falls, ID 83301-5819
John James D Angelo Emergency Medicine St Luke's Clinic, LLC 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Kenneth A Cogen Nephrology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Randall J Skeem Internal Medicine St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Martha Elizabeth Franz Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
John L Shuss General Surgery St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033

Office Location

Street Address 709 N LINCOLN AVE
City JEROME
State ID
Zip 83338-1851

Physicians in the same location

Name Specialty Organization Address
Thomas H Zepeda Emergency Medicine St Luke's Clinic LLC 709 N Lincoln Ave, Jerome, ID 83338-1851
Dean A Nelson Family Medicine St Luke's Clinic LLC 709 N Lincoln Ave, Jerome, ID 83338-1851
Brian L Johnson Family Medicine St Luke's Clinic LLC 709 N Lincoln Ave, Jerome, ID 83338-1851
Rex E Wortham Emergency Medicine St Luke's Clinic LLC 709 N Lincoln Ave, Jerome, ID 83338-1851
Richard A Pierson Family Medicine St Luke's Clinic LLC 709 N Lincoln Ave, Jerome, ID 83338-1851

Physicians in the same zip code

Name Specialty Organization Address
James S Irwin Family Medicine St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Melissa D Merrill Certified Nurse Midwife (cnm) St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Alice R Trabert Nurse Practitioner St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Joshua W Kern Family Medicine St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Lori J Wortham Physician Assistant St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Nicole L Ruske Family Medicine St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Yolanda S Sedano Physician Assistant St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Mildred A Gaitan-gonzalez Clinical Social Worker St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Catherine A Doyle Family Medicine St Luke's Clinic LLC 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825
Laura M Johnson Chiropractic 600 N Lincoln Ave, Jerome, ID 83338-1850
Find all physicians in zip 83338

Competitor

Search similar physicians

City JEROME
Zip Code 83338
Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
City + Specialty JEROME + CERTIFIED REGISTERED NURSE ANESTHETIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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