Individual
WALTER D DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 COLISEUM DR, SENTARA CAREPLEX HOSPITAL, HAMPTON, VA 23666-5963
(757) 736-2010
Mailing address
11828 CANON BLVD STE E, NEWPORT NEWS, VA 23606-2554
(757) 599-4922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101232847
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408383100
—
MD
Enumeration date
10/18/2005
Last updated
04/21/2015
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