National Provider Identifier

Malcolm Lamar Dix, M.D., M.S

Malcolm Lamar Dix, M.D., M.S is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-4290.

NPI 1346820206Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1346820206
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 13, 2021
Last Updated
July 22, 2024

Practice Location

  • 601 Elmwood Avenue
  • Box 679
  • Rochester, NY 14642

Phone: (585) 275-4290

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1346820206
Entity Type
Individual
Last Name
Dix
First Name
Malcolm
Middle Name
Lamar
Credential
M.D., M.S
Mailing Street Address
601 Elmwood Avenue
Mailing Address Line 2
Box 679
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642
Mailing Country
US
Mailing Phone
(585) 275-4290
Mailing Fax
(585) 473-1573
Practice Street Address
601 Elmwood Avenue
Practice Address Line 2
Box 679
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642
Practice Country
US
Practice Phone
(585) 275-4290
Practice Fax
(585) 473-1573
Enumeration Date
April 13, 2021
Last Updated
July 22, 2024
Sex
Male
Sole Proprietor
No
Certification Date
April 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)