Individual
DAVID DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2801 BAY PARK DR, DEPARTMENT OF SURGERY, OREGON, OH 43616-4920
(419) 690-7652
(419) 697-7726
Mailing address
1932 COUNTY ROAD 213, FREMONT, OH 43420-9185
(419) 639-3545
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA04747NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349837
ANTHEM
OH
01
—
000000479828
ANTHEM
OH
01
—
04097A
PARAMOUNT
OH
05
—
2144745
—
OH
01
—
341881145-003
MMO
OH
01
—
P00360516
RRMC
OH
Enumeration date
09/20/2005
Last updated
11/03/2023
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