Individual
NEIL NIXDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.207223
LA
207Q00000X
Family Medicine Physician
MD449905
PA
207Q00000X
Family Medicine Physician
MED-PHYS-LIC-34400
MT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301508388
MI
Other
Enumeration date
03/30/2010
Last updated
07/09/2024
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