Individual
MICHAEL J DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A55255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A552550
BLUE SHIELD
—
05
—
00A552550
—
CA
01
—
00A552550E02
CALOPTIMA
—
01
—
050739CH29786
TRAILBLAZER
—
01
—
300121407
RAILROAD MEDICARE
—
Enumeration date
12/27/2005
Last updated
05/19/2009
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