Individual
MR. MICHEAL SHAWN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5640 S 3500 W, ROY, UT 84067-9158
(801) 773-2838
(801) 773-3025
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
363A00000X
Physician Assistant
0003660
CO
363A00000X
Physician Assistant
15-01671
KS
363A00000X
Physician Assistant
Primary
352301-1206
UT
Other
Enumeration date
10/15/2010
Last updated
11/24/2015
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