Individual provider · Type 1 NPI

Annie Marie Dixon, PA

Medical Physician Assistant · Pocatello, ID

NPI number 1205085529 Active

Practice location

2240 E Center St
Pocatello, ID 83201

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	PA-761 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1205085529

Annie Marie Dixon, PA's National Provider Identifier is 1205085529, issued on Sep 10, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Nov 20, 2013.