Individual
FRED JESTON DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 500 W, SUITE 112, PROVO, UT 84604-3305
(801) 812-4624
(801) 812-4699
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11013885A
IN
2085R0202X
Diagnostic Radiology Physician
41926
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
9282119-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915540
—
AZ
Enumeration date
06/06/2008
Last updated
03/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us