MEDICARE: CORINNE N DIX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	10232788-4405	UT
2	207R00000X	Internal Medicine Physician	10232788-8900	UT

General Provider Information

NPI Number	:	1831042621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE N DIX

Provider Business Mailing Address
First Line	:	82 E PORTICO LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-4080
Country	:	US
Telephone Number	:	801-616-8223
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 S 900 E STE 100
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84117-5789
Country	:	US
Telephone Number	:	801-449-0370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	04/20/2026

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