| Rodney Mark Dixon Md Pa | |
|
201 N Clifton St Fordyce AR 71742-3026 | |
| (870) 352-6300 | |
| Not Available |
| Full Name | Rodney Mark Dixon Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 201 N Clifton St, Fordyce, Arkansas |
| Authorized Official Name and Position | Rodney Mark Dixon (MD) |
| Authorized Official Contact | 8708640531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney Mark Dixon Md Pa Po Box 10159 El Dorado AR 71730-0023 Ph: () - | Rodney Mark Dixon Md Pa 201 N Clifton St Fordyce AR 71742-3026 Ph: (870) 352-6300 |
| NPI Number | 1275072779 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Medicare PECOS PAC ID | 2668758848 |
|---|---|
| Medicare Enrollment ID | O20170425000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275072779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C-6222 (Arkansas) | Primary |
| Provider Name | Rodney M Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174508386 PECOS PAC ID: 9739164682 Enrollment ID: I20040623001020 |
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