Individual
AMY DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 BROADWAY, SUITE 150, FORT WAYNE, IN 46802-1411
(260) 423-2682
(260) 422-4326
Mailing address
1819 KENSINGTON BLVD, FORT WAYNE, IN 46805-5122
(260) 484-8435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01048940A
IN
Other
Enumeration date
08/19/2006
Last updated
07/31/2020
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