Individual
BRADLEY BRUCE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP/FNP STUDENT
Contact information
Practice address
261 THREE MILE DR, KALISPELL, MT 59901-3037
(406) 890-2223
Mailing address
261 THREE MILE DR, KALISPELL, MT 59901-3037
(406) 890-2223
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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