Individual
JOHN B NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9011
(309) 624-9152
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 624-9011
(309) 624-9152
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036058548
IL
Other
Enumeration date
07/13/2006
Last updated
06/21/2011
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