Healthcare Provider Details

I. General information

NPI: 1760312136
Provider Name (Legal Business Name): TIMOTHY DAWSON II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPELL AVE ROOM 5304D
TUCSON AZ
85724-0001
US

IV. Provider business mailing address

1501 N CAMPELL AVE ROOM 5304D
TUCSON AZ
85724-0001
US

V. Phone/Fax

Practice location:
  • Phone: 985-276-7701
  • Fax:
Mailing address:
  • Phone: 985-276-7701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR82696
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: