Dixon, Mark S

Dixon, Mark S is an individual health care provider with primary practice located at 2810 N Parham Rd Ste 315 , Richmond VA 23294-4424. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dixon, Mark S can be contacted via phone (804) 288-8327.

Contact Information

Primary practice address
2810 N Parham Rd Ste 315 Richmond VA 23294-4424
Phone: (804) 288-8327
Fax: (804) 282-3744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116015918 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101242181 Virginia

Profile Details

NPI number 1699987313
LBN Legal business name Dixon, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Apr 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699987313 NPPES
Other 224564 ANTHEM
MEDICAID 1699987313 ANTHEM

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