Individual
DR. RALPH SYLVAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1405 KELLUM ST, SUITE 200, FAIRBANKS, AK 99701-4189
(907) 451-9202
(907) 452-6256
Mailing address
1405 KELLUM ST, SUITE 200, FAIRBANKS, AK 99701-4189
(907) 451-9202
(907) 452-6256
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1045450501
UT
213E00000X
Podiatrist
Primary
2810
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO5595
—
AK
Enumeration date
02/27/2007
Last updated
10/18/2016
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