Individual provider · Type 1 NPI
Derek Dixon
Student Health Clinic/Center · St. Louis, MO
NPI number
1609796440
Active
Practice location
2351 Market St
St. Louis, MO 63103-2541
Mailing address
1717 Olive St Apt 628
St. Louis, MO 63103-1781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
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About NPI 1609796440
Derek Dixon's National Provider Identifier is 1609796440, issued on Jul 21, 2026. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 21, 2026.