# DR. EUGENE JOSEPH DIXON

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

## Provider details

- **NPI number:** 1891872685
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 036082481 | IL | — |
| 208800000X | Urology Physician | 042-0013249 | VT | Yes |
| 208800000X | Urology Physician | 2007015076 | MO | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 11/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1025587 | — | VT |
| 05 | — | 207213109 | — | MO |
| 05 | — | 3102061 | — | NH |
| 01 | — | 310423557 | MEDICARE PTAN | MO |
| 01 | — | P00432175 | RAILROAD MEDICARE | MO |