Provider Demographics
NPI:1346265345
Name:DICKSON, SCOTT ADRIAN (BS,RT,R,MR)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ADRIAN
Last Name:DICKSON
Suffix:
Gender:M
Credentials:BS,RT,R,MR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 AMOS DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6071
Mailing Address - Country:US
Mailing Address - Phone:501-329-8243
Mailing Address - Fax:
Practice Address - Street 1:11300 FINANCIAL CENTRE PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3746
Practice Address - Country:US
Practice Address - Phone:501-221-2502
Practice Address - Fax:501-221-2504
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRT209247100000X
2635332471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Not Answered2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging