MEDICARE: ROBERT D. PEARSON PC

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	207YS0012X	Sleep Medicine (Otolaryngology) Physician

General Provider Information

NPI Number	:	1720696495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT D. PEARSON PC

Provider Business Mailing Address
First Line	:	1251 NORTHFIELD RD STE 200
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-8623
Country	:	US
Telephone Number	:	435-867-8719
Fax Number	:	435-867-5763

Provider Business Practice Location Address
First Line	:	1251 NORTHFIELD RD STE 200
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-8623
Country	:	US
Telephone Number	:	435-867-8719
Fax Number	:	435-867-5763

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. ROBERT DEAN PEARSON
Credential	:	MD
Telephone Number	:	435-867-8719

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	07/20/2020

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