Individual
JACK DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8423 MARKET ST STE 207, BOARDMAN, OH 44512-6778
(330) 965-5490
(330) 965-5491
Mailing address
8423 MARKET ST STE 207, BOARDMAN, OH 44512-6778
(330) 965-5490
(330) 965-5491
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102207240
VA
207X00000X
Orthopaedic Surgery Physician
Primary
34.015892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230609
—
OH
Enumeration date
02/08/2017
Last updated
09/19/2023
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