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Individual

DOUGLAS DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNM DEPARTMENT OF EMERGENCY MEDICINE MSC11, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
933 BRADBURY DR SE, STE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01072402A
IN
207P00000X
Emergency Medicine Physician
Primary
MD2014-0306
NM

Other

Enumeration date
04/30/2010
Last updated
03/22/2017
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