Individual
GERALD DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 SW WATER ST, PEORIA, IL 61602-1571
(309) 494-9320
Mailing address
10335 N PORT WASHINGTON RD, 250, MEQUON, WI 53092-5763
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
10/30/2007
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