Individual
DR. JONATHAN DAVID BRIXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-7194
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-7194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-9597
AR
208000000X
Pediatrics Physician
E-9597
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
04/23/2012
Last updated
05/23/2016
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