Individual
ROGER EUGENE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 E NORTH ST, SUITE 5, ELDON, MO 65026-1551
(573) 392-3474
(573) 392-3478
Mailing address
249 BOND SCHOOL RD, OLEAN, MO 65064-2120
(573) 301-7268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000170551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189017
BLUE CROSS BLUE SHIELD
MO
01
—
2196256
FIRST HEALTH
MO
01
—
661928
HEALTHLINK
MO
01
—
666500
ACN GROUP
MO
Enumeration date
04/17/2006
Last updated
12/03/2012
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