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Individual

BRIAN JEFFERSON DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3345 39TH ST S STE 2, FARGO, ND 58104
(509) 222-1275
(509) 491-3031
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(877) 522-1275

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00042009
WA
207P00000X
Emergency Medicine Physician
PT15145
ND
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
PT15145
ND
207RA0401X
Addiction Medicine (Internal Medicine) Physician
PT15145
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202684
LIWA
WA
01
3074DA
BSWA
WA
05
8352197
WA
Enumeration date
05/28/2006
Last updated
02/26/2025
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