| Doctor Name: | DR. BAXTER DIXON THARIN |
| NPI Number: | 1013177120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | DR.0054157 |
| Business Practice Address: | 4700 Las Vegas Blvd N Building 1300, Department Of Radiology Nellis Afb, NV - 891916600 |
| Business Phone Number: | 7026532273 |
| Business Fax Number: | |
| Mailing Address: | 4700 Las Vegas Blvd N, Bldg 1300, Department Of Radiology NELLIS AFB |
| State: | NV |
| Postal Code: | 891916600 |
| Phone Number: | 7026532273 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 08/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | DR.0054157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |