Individual
ALICIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS PA-C
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(636) 299-8369
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2011009209
MO
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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