Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101267865 | VA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 35.128356 | OH |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 73720 | WI |
NPI | 1003159021 |
---|---|
Provider Name | Dr. Matthew N Dawson |
First Address | Roanoke, VA 24011-1713 |
Second Address | Roanoke, VA 24014-1111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 15/11/2021 |