Doctor Name: | MR. ROBERT ARTHUR DAWSON |
NPI Number: | 1154393478 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 45 Pine St Sgoso Langley Afb, VA - 236652025 |
Business Phone Number: | 7577646494 |
Business Fax Number: | 7577646906 |
Mailing Address: | 1716 10th St, LANGLEY AFB |
State: | VA |
Postal Code: | 236651723 |
Phone Number: | 7577662552 |
Fax Number: | 7577646906 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |