Individual
AUTUMN RENEE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 231-8772
(717) 231-8435
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8772
(717) 231-8772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059443
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103429123
—
PA
Enumeration date
06/27/2017
Last updated
12/12/2020
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