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NPI Code Detail

MEDICARE: JEFFREY SCOTT DIXON

MEDICARE: JEFFREY SCOTT DIXON
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
11041C0700XClinical Social Worker18371AZ

General Provider Information

NPI Number : 1982234068
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY SCOTT DIXON
Provider Business Mailing Address
First Line : 3071 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1259
Country : US
Telephone Number : 520-820-6395
Fax Number :
Provider Business Practice Location Address
First Line : 3071 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1259
Country : US
Telephone Number : 520-820-6395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2020
Last Update Date : 05/18/2026

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Directions to “ JEFFREY SCOTT DIXON ” Practice Location

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