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NPI Code Detail

MEDICARE: DR. JOHANNAH LINDSEY DICKENS HAY M.D.

MEDICARE:  DR. JOHANNAH LINDSEY DICKENS HAY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD60396539WA

General Provider Information

NPI Number : 1508157033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHANNAH LINDSEY DICKENS HAY M.D.
Provider Business Mailing Address
First Line : 120 SOUTH STORY STREET
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-4444
Fax Number : 515-432-1331
Provider Business Practice Location Address
First Line : 120 SOUTH STORY STREET
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-4444
Fax Number : 515-432-1331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 03/03/2023

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Directions to “ DR. JOHANNAH LINDSEY DICKENS HAY M.D.” Practice Location

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