Gordon E Dixon JR., DO

NPI #1578518395 in Blackfoot, Idaho

Provider Information

NPI Number: 1578518395
Entity Type: Individual
Name: Gordon E Dixon JR., DO
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1441 PARKWAY DR
City: Blackfoot
State: Idaho
ZIP Code: 83221-1667
Phone: (208) 785-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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