Individual
GAGE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
125 E IDAHO ST STE 100, BOISE, ID 83712-6202
(208) 381-1950
Mailing address
125 E IDAHO ST STE 100, BOISE, ID 83712-6202
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
4861963
ID
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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