Individual
DR. DIXON LEE ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 E BROADWAY ST, BUTTE, MT 59701-9334
(406) 723-7272
(406) 723-3328
Mailing address
7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7576
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070006921
RAILROAD MEDICARE #
GA
01
—
07511
BLUE CROSS BLUE SHIELD #
MT
05
—
105144
—
MT
01
—
81-0494973
FEDERAL TAX ID #
MT
Enumeration date
10/02/2006
Last updated
08/08/2024
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