Individual
CETH L DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 262-2724
Mailing address
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762-0137
(479) 725-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT2020-051
AR
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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