Individual
DR. MICHAEL B DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BOWLES AVE STE G10, FENTON, MO 63026-2387
(314) 842-7901
Mailing address
10004 KENNERLY RD, SUITE 386B, SAINT LOUIS, MO 63128-2141
(314) 842-7910
(314) 842-7911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R4C21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202681417
—
MO
Enumeration date
09/01/2006
Last updated
05/04/2022
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