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Individual

DR. DONALD J. DIXON

Active
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Individual

DR. DONALD J. DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C43197
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C431970
BLUE CROSS
—
05
—
00C431970
—
CA
01
—
0616650001
DME
—
01
—
080069748
RAILROAD MEDICARE
—
01
—
93555B122
WPS TRICARE
—
01
—
C43197
IMG MEDI-CAL MANAGED CARE
—
01
—
CA0103
JOHN DEERE
—
Enumeration date
06/01/2005
Last updated
03/07/2023
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