GORDON DIXON JR., DO
Family Medicine
Active
Individual
NPI: 1578518395
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 0-200 (ID) |
Frequently Asked Questions
NPI 1578518395 is the National Provider Identifier for GORDON DIXON JR., DO, a Family Medicine provider located in Blackfoot, ID. This NPI was enumerated on May 23, 2006.
GORDON DIXON JR., DO practices at 1441 PARKWAY DR, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1578518395
- Type
- Individual
- Enumerated
- May 23, 2006
- Last Updated
- Jul 8, 2007
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