-- GORDON E DIXON Jr. DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1578518395- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1441 PARKWAY DR, BLACKFOOT, ID, 832211667
- Phone
- (208) 785-2600
Specialties & Taxonomies
Family Medicine
Primary License: ID #0-200