Individual
GARY W DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
523 LOCUST ST, BOISE, ID 83712-7336
(208) 336-3407
Mailing address
523 LOCUST ST, BOISE, ID 83712-7336
(208) 336-3407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3702
ID
Other
Enumeration date
05/11/2008
Last updated
05/11/2008
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