Individual
DR. EUGENE JOSEPH DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 HOSPITAL DR, NVRH SURGICAL GROUP, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
PO BOX 905, NVRH SURGICAL GROUP, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036082481
IL
208800000X
Urology Physician
Primary
042-0013249
VT
208800000X
Urology Physician
2007015076
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025587
—
VT
05
—
207213109
—
MO
05
—
3102061
—
NH
01
—
310423557
MEDICARE PTAN
MO
01
—
P00432175
RAILROAD MEDICARE
MO
Enumeration date
11/01/2006
Last updated
11/23/2015
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