Individual
BLAKE ANDREW DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2301 W PLEASANT GROVE RD, ROGERS, AR 72758-7033
(479) 326-8525
Mailing address
5611 SW GUNSTOCK RD, BENTONVILLE, AR 72713-4020
(662) 397-0914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
225953
AR
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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