Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | DR.058918 | CO |
N | 2080P0210X | Pediatric Nephrologist | OH35.078780 | OH |
NPI | 1083657068 |
---|---|
Provider Name | Dr. Bradley P. Dixon |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 19/11/2019 |