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Dr. Jerry Nelson Mixon, MD
Adult Medicine Physician in Kirkland, Washington
NPI 1366799090

Jerry Nelson Mixon is an Adult Medicine Physician based in Kirkland, WA and is specialized in Adult Medicine. Jerry Nelson Mixon practices in Kirkland, WA and has the professional credentials of MD. The NPI Number for Jerry Nelson Mixon is 1366799090 and holds a License No. MD00023643 (Washington).

The current practice location address for Jerry Nelson Mixon is 9757 Ne Juanita Dr, Kirkland, WA and can be reached out via phone at 425-605-8715 and via fax at 425-654-0211.

Location: 9757 Ne Juanita Dr, Kirkland, WA, 98034-4299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366799090
Provider Name
Jerry Nelson Mixon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9757 Ne Juanita Dr, Kirkland, WA, 98034-4299
Phone Number
425-605-8715
Fax Number
425-654-0211
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9757 Ne Juanita Dr
City
Kirkland
State
Washington
Zip
98034-4299
Phone Number
425-605-8715
Fax Number
425-654-0211
person
Provider Business Mailing Address Details
Address
9757 Ne Juanita Dr
City
Kirkland
State
Washington
Zip
98034-4299
Phone Number
425-605-8715
Fax Number
425-654-0211
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
MD00023643 (Washington)
Definition
Definition to come.
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