MEDICARE: DR. ROBERT DEAN PEARSON M.D.

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	370728-1205	UT
2	207Y00000X	Otolaryngology Physician	370728-1205	UT

General Provider Information

NPI Number	:	1295793834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DEAN PEARSON M.D.

Provider Business Mailing Address
First Line	:	1251 NORTHFIELD RD
Second Line	:	SUITE 200
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8622
Country	:	US
Telephone Number	:	435-867-8719
Fax Number	:	435-867-5763

Provider Business Practice Location Address
First Line	:	1251 N NORTHFIELD RD
Second Line	:	SUITE 200
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-7744
Country	:	US
Telephone Number	:	435-867-8719
Fax Number	:	435-867-5763

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	03/27/2019

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