Dixon, Russell

Dixon, Russell is an individual health care provider with primary practice located at 5950 University Ave Ste 105 , West Des Moines IA 50266-7756. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Dixon, Russell can be contacted via phone (515) 875-9070.

Contact Information

Primary practice address
5950 University Ave Ste 105 West Des Moines IA 50266-7756
Phone: (515) 875-9070
Fax: (515) 875-9071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002215 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002215 Iowa

Profile Details

NPI number 1992093066
LBN Legal business name Dixon, Russell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Aug 17th, 2021 - about 5 years ago

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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