Individual
BRIAN R DIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15190 COMMUNITY RD, SUITE 230A, GULFPORT, MS 39503-3485
(228) 831-0204
(228) 831-1868
Mailing address
15190 COMMUNITY RD, SUITE 230A, GULFPORT, MS 39503-3485
(228) 831-0204
(228) 831-1868
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
02001248A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
13810
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113498
—
MS
Enumeration date
08/21/2006
Last updated
11/09/2018
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