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NPI Code Detail

MEDICARE: DR. DAVID WILLIAM DIXON D.O.

MEDICARE:  DR. DAVID WILLIAM DIXON  D.O.
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
12084N0400XNeurology Physician009004AZ
22084P0800XPsychiatry Physician34.013542OH

General Provider Information

NPI Number : 1255741385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WILLIAM DIXON D.O.
Provider Business Mailing Address
First Line : 4435 E CHANDLER BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7651
Country : US
Telephone Number : 480-818-4458
Fax Number :
Provider Business Practice Location Address
First Line : 4435 E CHANDLER BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7651
Country : US
Telephone Number : 480-818-4458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2014
Last Update Date : 10/23/2024

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Directions to “ DR. DAVID WILLIAM DIXON D.O.” Practice Location

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