Individual
MRS. MICHELLE RENE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5915 W MEMORIAL RD STE 300, OKLAHOMA CITY, OK 73142-2022
(405) 773-6470
Mailing address
5915 W MEMORIAL RD STE 300, OKLAHOMA CITY, OK 73142-2022
(405) 773-6470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2563
OK
363AM0700X
Medical Physician Assistant
2563
OK
Other
Enumeration date
01/04/2016
Last updated
08/27/2021
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