JERRY W. DIXON, M.D., P.A.
Radiology at Medical Park Dr, Benton, AR

License number
Arkansas E0176
Category
Radiology
Type
Surgery
Owner
Name: DR. JERRY W. DIXON M.D.
Title: OWNER
Phone: (501) 778-3361
Address
Address
3 Medical Park Dr SUITE 201, Benton, AR 72015
National Provider ID: 1871627737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JERRY W. DIXON, M.D., PA

7554 Hwy 67, Benton, AR 72015

Registration:
Sep 12, 1994
State ID:
100115538
Business type:
For Profit Corporation
Secretarys:
Jordan Woolbright & Associates (P.A.),Jerry Dixon (President),Janet Dixon (Secretary)
Agent:
Jerry W. Dixon (I),7554 Hwy 67, Benton, AR 72015 (Physical)
Filled under act:
Dom Medical Corp; 179 of 1961

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