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Individual

DR. BRIAN SCOTT DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
90 BERKSHIRE AVE, SPRINGFIELD, MA 01109-1709
(413) 739-7968
(413) 788-0194
Mailing address
90 BERKSHIRE AVE, SPRINGFIELD, MA 01109-1709
(413) 596-9874

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1038
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050001038
CONNECTICUT BC/BS
MA
01
0554418
AETNA
MA
05
1604252
MA
01
5823070002
CIGNA
MA
01
705823
CONNECTICARE
MA
Enumeration date
12/15/2005
Last updated
10/24/2017
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