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Individual

JOHN D HIXSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 PARNASSUS AVE BOX 0138, SAN FRANCISCO, CA 94143-0001
(415) 353-2437
(415) 353-2837
Mailing address
400 PARNASSUS AVE BOX 0138, SAN FRANCISCO, CA 94143-0001
(415) 353-2437
(415) 353-2837

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36161
IA
2084N0600X
Clinical Neurophysiology Physician
36161
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0468223
IA
01
39654
WELLMARK BCBS
IA
01
A96211
STATE LICENSE
CA
Enumeration date
10/28/2005
Last updated
02/12/2010
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