Basic Information
Provider Information
NPI: 1649412842
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIXON
FirstName: ASHLEIGH
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2421 E SOUTHERN AVE STE 7
Address2:  
City: TEMPE
State: AZ
PostalCode: 852827612
CountryCode: US
TelephoneNumber: 4804252162
FaxNumber: 4803518797
Practice Location
Address1: 6501 N 19TH AVE
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850151646
CountryCode: US
TelephoneNumber: 6027956020
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2009
LastUpdateDate: 11/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X54739-20WIN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD2013-0165NMN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X17396HIN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X130370CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X47317AZY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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