| Organization Name: | TEDD E DAWSON MD INC |
| NPI Number: | 1730349739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TEDD EUGENE DAWSON (PRESIDENT) |
| Mailing Address: | 1196 S Main St Willits |
| State: | CA US |
| Postal Code: | 954904304 |
| Phone Number: | 7074593070 |
| Fax Number: | 7074593052 |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C38007 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |