Organization
TEDD E DAWSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEDD EUGENE DAWSON M.D. (PRESIDENT)
(707) 459-3070
Entity
Organization
Contact information
Practice address
1196 S MAIN ST, WILLITS, CA 95490-4304
(707) 459-3070
(707) 459-3052
Mailing address
1196 S MAIN ST, WILLITS, CA 95490-4304
(707) 459-3070
(707) 459-3052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C38007
CA
208D00000X
General Practice Physician
C38007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C380070
—
CA
05
—
1457330680
—
CA
Enumeration date
06/12/2008
Last updated
02/25/2009
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