Jerry W Dixon is a Surgery in Benton, Arkansas. Jerry W Dixon practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerry W Dixon is 1316970148. The last update date is 2016-12-21.
Jerry W Dixon's current location address is 3 Medical Park Dr, Benton, Arkansas. You can contact this provider via phone number 5017783361. The mailing address for Jerry W Dixon is 3 Medical Park Dr, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry W Dixon |
|---|---|
| Address | 3 Medical Park Dr, Benton, Arkansas |
| Phone Number | 5017783361 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316970148 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2016-12-21 |
Provider Mailing Address Detail
| Address | 3 Medical Park Dr |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720153728 |
| Phone Number | 5017783361 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | E0173 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125732001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry W Dixon by the Centers for Medicare & Medicaid Services?
The Jerry W Dixon has been assigned the NPI (National Provider Identifier) 1316970148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jerry W Dixon is geographically located?
The Jerry W Dixon is physically situated at the following location: 3 Medical Park Dr, Benton, AR, 720153728.
What is Jerry W Dixon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry W Dixon's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date was the 1316970148 assigned to Jerry W Dixon?
The Jerry W Dixon was issued its 1316970148 on 2006-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jerry W Dixon's information last updated?
The Jerry W Dixon's information was last updated on 2016-12-21.
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