NPI

Marc E Dicklin

NPI 1205837408

Read from the NPPES registry on October 26, 2026.

Facts

Status
Active
Credential
P.A. -C
Type
Individual
Enumeration date
2005-08-10
Last updated
2026-10-19

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Specialties

Licenses

License IA
001351
License CO
PA.0001152

Location

Practice location
50 Buck Creek Rd Ste 100
City
Avon CO
Postal code
81620-5428
Phone
(970) 926-6340
Fax
(970) 926-6348

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Physician Assistants in Avon, CO. 13 with this primary taxonomy in the public file.

Other NPIs in Avon, CO. 228 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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