MEDICARE: RANK O. DAWSON, JR., 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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1417679044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANK O. DAWSON, JR., M. D.

Provider Business Mailing Address
First Line	:	4767 N BEND RD STE A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1825
Country	:	US
Telephone Number	:	513-662-3500
Fax Number	:	513-389-4751

Provider Business Practice Location Address
First Line	:	4767 N BEND RD STE A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1825
Country	:	US
Telephone Number	:	513-662-3500
Fax Number	:	513-389-4751

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RANK ORION DAWSON JR.
Credential	:	MD
Telephone Number	:	513-662-3500

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	09/12/2022

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