IndividualActive
Daniel Dickman, D.O.
NPI 1902256548 · Diagnostic Radiology Physician · Boise, ID
Provider details
- NPI number
- 1902256548
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 009081 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2809
Fax: (208) 381-1791
Approximate (ZIP-level) locationGet directions
Mailing address
2894 W Neff St
Boise, ID 83703-5404
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.