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NPI Code Detail

MEDICARE: MILAN DIXON

MEDICARE:   MILAN  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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1275929457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILAN DIXON
Provider Business Mailing Address
First Line : 6482 COFFEEVILLE CREEK DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-3503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6482 COFFEEVILLE CREEK DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-3503
Country : US
Telephone Number : 725-261-0724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2015
Last Update Date : 04/14/2015

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Directions to “ MILAN DIXON ” Practice Location

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