Individual
MARK LEE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6800
Mailing address
16800 27TH AVE NE APT G139, MARYSVILLE, WA 98271-1317
(425) 529-3323
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CH60803427
WA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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