Individual
CHARLES DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8134
Mailing address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6874
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003857111
BCBS
MT
05
—
1003857111
—
MT
Enumeration date
06/09/2006
Last updated
04/20/2012
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