Individual
DANIEL KEITH DIXON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5314 USCG HQ COMDT CG-1122 2100 2ND ST, WASHINGTON, DC 20593-0001
(860) 444-8402
Mailing address
5314 USCG HQ COMDT CG-1122 2100 2ND ST, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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