Etosha D Dixon M.D.

NPI 1063473551 - Family Medicine - 207Q00000X

NPI Details
NPI 1063473551
Gender Female
Enumeration Date 04/01/2006
Last Updated 12/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
4538 EDMONDSON AVE
BALTIMORE MD, 21229-1506, US
Phone (410) 328-2273
Fax (410) 362-1750
Business Location
4538 EDMONDSON AVE
BALTIMORE MD, 21229-1506, US
Phone (410) 328-2273
Fax (410) 362-1750
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 22045
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According to our database, Dr. Etosha D Dixon M.D. NPI is 1063473551, taxonomy code is 207Q00000X and license number is 22045, license state is located at West Virginia. Etosha D Dixon M.D. physically located at 4538 Edmondson Ave, Baltimore MD, 21229-1506. NPI Number Etosha D Dixon M.D. has the Individual type.

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1063473551 NPI number is provided on an as is basis without warranty of any kind. 1063473551 is maintained by the National Plan & Provider Enumeration System. The contents of Etosha D Dixon M.D. are for informational purposes only.