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Individual

JAMES E NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2004 1ST AVE, STE A, DODGE CITY, KS 67801-2623
(620) 225-1033
(620) 227-8491
Mailing address
2004 1ST AVE, STE A, DODGE CITY, KS 67801-2623
(620) 225-1033
(620) 227-8491

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0418445
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100148400B
KS
05
14956861
CO
01
KA1172002
MEDICARE
KS
01
KA1173002
MEDICARE
KS
Enumeration date
05/19/2006
Last updated
10/08/2008
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