Individual
DR. DANIEL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14077
ND
207X00000X
Orthopaedic Surgery Physician
2015-00189
NC
207X00000X
Orthopaedic Surgery Physician
4301096367
MI
207X00000X
Orthopaedic Surgery Physician
Primary
72252
MT
207XS0117X
Orthopaedic Surgery of the Spine Physician
14077
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659692929
—
MT
05
—
1659692929
—
NC
05
—
NC2401
—
SC
Enumeration date
06/21/2010
Last updated
07/02/2019
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