Healthcare Provider Details

I. General information

NPI: 1518880038
Provider Name (Legal Business Name): DAWSON JOHN HOXER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 HARRISON BLVD STE 1815
OGDEN UT
84403-3339
US

IV. Provider business mailing address

PO BOX 5546
DENVER CO
80217-5546
US

V. Phone/Fax

Practice location:
  • Phone: 801-732-5900
  • Fax: 801-732-5988
Mailing address:
  • Phone: 801-475-3500
  • Fax: 801-475-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14301003-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: