Individual
MR. SAMUEL ERVIN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-4857
(808) 433-4857
Mailing address
I JARRETT WHITE ROAD, TAMC, HONOLULU, HI 96859-7747
(808) 433-4857
(808) 433-4857
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2479
CA
367500000X
Certified Registered Nurse Anesthetist
APRN907
HI
Other
Enumeration date
01/17/2006
Last updated
07/01/2008
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