# JARED A DIXON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780833707
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E7567 | AR | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | E7567 | AR | — |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 02/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 194201001 | — | AR |