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Individual

TREVOR L DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-8091
(573) 884-5410
Mailing address
PO BOX 7687, NEWARK BETH ISRAEL MEDICAL CENTER, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012016490
MO
207P00000X
Emergency Medicine Physician
25MA08085500
NJ
207P00000X
Emergency Medicine Physician
Primary
287967
NY

Other

Enumeration date
10/26/2006
Last updated
04/06/2017
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