Provider Demographics
NPI:1215148168
Name:DICKEY, ANDREW CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHRISTOPHER
Last Name:DICKEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:789 S MOUNT AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-6387
Mailing Address - Country:US
Mailing Address - Phone:573-519-4830
Mailing Address - Fax:573-519-4870
Practice Address - Street 1:789 S MOUNT AUBURN RD
Practice Address - Street 2:DEPT. OF MEDICINE
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-6387
Practice Address - Country:US
Practice Address - Phone:573-519-4830
Practice Address - Fax:573-519-4870
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2015-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2013002770207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine