Individual
DAWSON XU
Active
Individual
DAWSON XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00571
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019876
RI MEDICARE
RI
01
—
03102011
NHPRI
RI
01
—
04112011
BCBSRI
RI
01
—
939025129
RI MEDICARE GROUP
RI
05
—
DX83438
—
RI
Enumeration date
12/15/2010
Last updated
09/09/2011
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