Individual
DR. WALKER BRYAN DIXON III
Active
Individual
DR. WALKER BRYAN DIXON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD23069
OR
2084P0800X
Psychiatry Physician
Primary
MD23069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286961
—
OR
05
—
500627051
—
OR
01
—
P00924568
RR MEDICARE
OR
Enumeration date
01/25/2007
Last updated
07/21/2022
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