Individual
MARK SHEPHERD DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 N PARHAM RD STE 315, RICHMOND, VA 23294-4424
(804) 288-8327
(804) 282-3744
Mailing address
2810 N PARHAM RD STE 315, RICHMOND, VA 23294-4424
(804) 288-8327
(804) 282-3744
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101242181
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116015918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699987313
—
VA
01
—
224564
ANTHEM
—
Enumeration date
05/04/2007
Last updated
06/17/2025
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