Organization
PHILLIP R DAWKINS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP R DAWKINS (OWNER)
(812) 482-5656
Entity
Organization
Contact information
Practice address
950 MEMORIAL DR, JASPER, IN 47546-2625
(812) 482-5656
Mailing address
950 MEMORIAL DR, JASPER, IN 47546-2625
(812) 482-5656
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01024458A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA2283
RAILROAD MEDICARE
IN
Enumeration date
07/27/2006
Last updated
11/29/2007
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