Most Relevant Information
Provider Data
| NPI Number: | 1003222563 |
| Provider Name: | NIDA DILLON D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 2014021710 |
Most Important Dates
| Enumeration Date: | 07/06/2014 |
| Last Updated: | 06/10/2019 |
Provider Practice Location
12210 W 87TH STREET PKWY
LENEXA
KS
662152812
Practice Location Phone/Fax
| Phone: | 9134386700 |
| Fax: | 9133381311 |
Provider Mailing Location
PO BOX 741331
ATLANTA
GA
303741331
Provider Mailing Phone/Fax
| Phone: | 9134690503 |
| Fax: | 9134695267 |
Suggested EMR
Family Practice EMR