Individual
JONATHAN DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2000
Mailing address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R3063
TX
Other
Enumeration date
04/20/2013
Last updated
02/06/2022
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