MEDICARE: ELLIOT DAWSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	58323	MN

General Provider Information

NPI Number	:	1144664806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOT DAWSON

Provider Business Mailing Address
First Line	:	5901 E 7TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90822-5201
Country	:	US
Telephone Number	:	562-826-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-5201
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	07/21/2022

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Directions to “ ELLIOT DAWSON ” Practice Location

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