Individual
DAVID DIXON
Active
Individual
DAVID DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R069166
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002802
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5R863
BLUE CROSS BLUE SHIELD
AR
01
—
P00806559
RR MEDICARE
AR
Enumeration date
11/06/2009
Last updated
06/16/2015
Update your record
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