Organization · Type 2 NPI
Dixon Family Practice and Internal Medicine, LLC
Rural Health Clinic/Center · Dixon, MO
NPI number
1235135682
Active
Practice location
206 West 2nd Street
Dixon, MO 65459-0940
Fax (573) 759-3131
Mailing address
PO Box 9900
Dixon, MO 65459-0940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | R6D44 (MO) |
| Rural Health Clinic/Center Primary | 261QR1300X | 263875 (MO) |
| Family Nurse Practitioner | 363LF0000X | 113217 (MO) |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1235135682
Dixon Family Practice and Internal Medicine, LLC's National Provider Identifier is 1235135682, issued on Jun 21, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Dixon, MO. The record was last updated on Apr 29, 2008.