Individual
DIXIE JUNE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 N NEVADA AVE STE 2025, COLORADO SPRINGS, CO 80907-6819
(303) 733-8848
(303) 733-3107
Mailing address
2222 N NEVADA AVE STE 2025, COLORADO SPRINGS, CO 80907-6819
(303) 733-8848
(303) 733-3107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006334
CO
363AS0400X
Surgical Physician Assistant
2162
OK
363AS0400X
Surgical Physician Assistant
8449
AZ
363AS0400X
Surgical Physician Assistant
PA.0006334
CO
363AS0400X
Surgical Physician Assistant
PA2010-0001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09639829
—
NM
Enumeration date
08/05/2006
Last updated
02/28/2025
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