Search › Arkansas › 171M00000X
Jeremiah Dicus
NPI 1831568492 · on the registry since 2015
Practice
- Address
- 4 East Cherokee Village Mall
Cherokee Village, AR 72529 - Phone
- (870) 257-3336
- Fax
- (870) 257-3339
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 171M00000X
- Licence states on file
- NULL, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas