Individual
MR. PETER DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, SECTION OF OTOLARYNGOLOGY, LEBANON, NH 03756-1000
(603) 650-8123
Mailing address
1 MEDICAL CENTER DR, SECTION OF OTOLARYNGOLOGY, LEBANON, NH 03756-1000
(603) 650-8123
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0194
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0AP0779
—
VT
05
—
30010022
—
NH
Enumeration date
08/31/2006
Last updated
10/28/2011
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