Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1732 | AR |
NPI | 1235465865 |
---|---|
Provider Name | Chad Aaron Dawson |
First Address | Rogers, AR 72758-8795 |
Second Address | Rogers, AR 72758-8795 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2009 |
Last Update Date | 02/11/2009 |