ANNIE MARIE DIXON

POCATELLO, ID
NPI1205085529
Former NameANNIE MARIE KUNZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-761)
Enumeration Date2008-09-10
Last Update Date2013-11-20
Business Address
-- ANNIE MARIE DIXON PA
2240 E CENTER ST
POCATELLO, ID 83201
Phone number: 208-233-8344
Mailing Address
-- ANNIE MARIE DIXON PA
2240 E CENTER ST
POCATELLO, ID 83201
Phone number: 208-233-8344
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