Provider Demographics
NPI:1548448970
Name:DUNN-DIXON, ROBERTA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:JEAN
Last Name:DUNN-DIXON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERTA
Other - Middle Name:JEAN
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,
Mailing Address - Street 1:18510 MOCKINGBIRD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-9691
Mailing Address - Country:US
Mailing Address - Phone:702-672-1443
Mailing Address - Fax:
Practice Address - Street 1:4443 MAGNOLIA AVE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501
Practice Address - Country:US
Practice Address - Phone:951-788-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99540207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine