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NPI Code Detail

MEDICARE: BARBARA A DIXON-SCOTT M.D., PH.D.

MEDICARE: BARBARA A DIXON-SCOTT M.D., PH.D.
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
1207RG0100XGastroenterology Physician105362MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100015664OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669418216
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA A DIXON-SCOTT M.D., PH.D.
Provider Business Mailing Address
First Line : 965 MATTOX DR
Second Line :
City : SULLIVAN
State : MO
Zip : 63080-2365
Country : US
Telephone Number : 573-860-8000
Fax Number :
Provider Business Practice Location Address
First Line : 965 MATTOX DR
Second Line :
City : SULLIVAN
State : MO
Zip : 63080-2365
Country : US
Telephone Number : 573-860-6000
Fax Number : 573-860-6016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/13/2021

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