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NPI Code Detail

MEDICARE: GEORGE B DAWSON MD PC

MEDICARE: GEORGE B DAWSON MD 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
1207LP2900XPain Medicine (Anesthesiology) Physician
2207L00000XAnesthesiology Physician18162OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DO0804OTHEROKMEDICARE RR GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2352515200OTHERDOL

General Provider Information

NPI Number : 1386630556
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGE B DAWSON MD PC
Provider Business Mailing Address
First Line : PO BOX 272495
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73137-2495
Country : US
Telephone Number : 405-775-9350
Fax Number : 405-775-9360
Provider Business Practice Location Address
First Line : 8121 NATIONAL AVE
Second Line : STE 108
City : MIDWEST CITY
State : OK
Zip : 73110-7530
Country : US
Telephone Number : 405-775-9350
Fax Number : 405-775-9360
Authorized Official
Title or Position : BILLING MANAGER
Name : CATHY PRICE
Credential :
Telephone Number : 405-775-9350
Provider Enumeration Date : 09/23/2005
Last Update Date : 10/16/2009

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Directions to “GEORGE B DAWSON MD PC ” Practice Location

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