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Organization
WHITNEY DIXON MD INC
Active
Organization
WHITNEY DIXON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LEE ANGELO (OFFICE MANAGER)
(530) 899-9616
Entity
Organization
Contact information
Practice address
145 MISSION RANCH BLVD, SUITE 115, CHICO, CA 95926-2296
(530) 899-9616
(530) 899-9686
Mailing address
145 MISSION RANCH BLVD, SUITE 115, CHICO, CA 95926-2296
(530) 899-9616
(530) 899-9686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G83663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ24570Z
MEDICARE CORPORATE ID
CA
Enumeration date
02/21/2008
Last updated
08/16/2012
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