Individual
JAMES EDWIN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1 WILLIAM WHITE BLVD, PUEBLO, CO 81001-4829
(719) 423-8333
Mailing address
2234 N GRAND AVE, PUEBLO, CO 81003-2539
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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