# W DODSON CREIGHTON M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982874715
- **Authorized official:** DR. WILLIAM DODSON CREIGHTON M.D. (ALLERGY SPECIALISTS)
- **Authorized official phone:** (760) 344-7412

## Contact information

- **Practice address:** 197 W LEGION RD, SUITE \#200, BRAWLEY, CA 92227-7727
- **Practice address phone:** (760) 344-7412
- **Practice address fax:** (760) 344-9956
- **Mailing address:** 197 W LEGION RD, SUITE \# 200, BRAWLEY, CA 92227-7727
- **Mailing address phone:** (760) 344-7412
- **Mailing address fax:** (760) 344-9956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G27744 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 11/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | G27744 | — | CA |