Individual
ANTHONY DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
Mailing address
4635 FALCON RUN WAY, INDIANAPOLIS, IN 46254-2073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27043331A
IN
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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