Individual
TRACEY MARIE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARK PL, HAZLE TOWNSHIP, PA 18202-2885
(570) 454-1400
(570) 454-2144
Mailing address
225 STRYJAK RD, MOUNTAIN TOP, PA 18707-9381
(570) 709-1953
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
SP020197
PA
363LG0600X
Gerontology Nurse Practitioner
SP020197
PA
Other
Enumeration date
05/20/2019
Last updated
08/11/2025
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