DUSTIN K WIXSON

LITTLE ROCK, AR
NPI1114022209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: AR  C01501)
Enumeration Date2006-09-13
Last Update Date2008-05-16
Business Address
-- DUSTIN K WIXSON CRNA
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-2093
Mailing Address
-- DUSTIN K WIXSON CRNA
11001 EXECUTIVE CENTER DR SUITE 200
LITTLE ROCK, AR 72211-4316
Phone number:
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