Individual
JOHN D HIXSON
Active
Individual
JOHN D HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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