Dixon Family Practice And Internal Medicine, Llc

NPI 1235135682 - Family Medicine - 207Q00000X

NPI Details
NPI 1235135682
Enumeration Date 06/21/2005
Last Updated 04/29/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CARLENE S CARLENE
Position OWNER
Phone (573) 759-3030
Fax (573) 759-3131
Practice Location
206 WEST 2ND STREET
DIXON MO, 65459-0940, US
Phone (573) 759-3030
Fax (573) 759-3131
Business Location
PO BOX 9900
DIXON MO, 65459-0940, US
Phone (573) 759-3030
Fax (573) 759-3131
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number R6D44
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According to our database, Dixon Family Practice And Internal Medicine, Llc NPI is 1235135682, taxonomy code is 207Q00000X and license number is R6D44, license state is located at Missouri. Dixon Family Practice And Internal Medicine, Llc physically located at 206 West 2nd Street, Dixon MO, 65459-0940. NPI Number 1033115704 has the healthcare provider type.

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1235135682 NPI number is provided on an as is basis without warranty of any kind. 1235135682 is maintained by the National Plan & Provider Enumeration System. The contents of Dixon Family Practice And Internal Medicine, Llc are for informational purposes only.