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Individual

DR. TIMOTHY CHARLES DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 S ELISEO DR STE 100, GREENBRAE, CA 94904-2014
(415) 461-7246
Mailing address
1300 S ELISEO DR STE 100, GREENBRAE, CA 94904-2014
(415) 461-7246

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A89902
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A89902
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A899020
CA
01
00A899022
MEDICARE ID
CA
01
1194757443
NPI
CA
Enumeration date
07/07/2006
Last updated
11/28/2007
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