Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35047874 | OH |
N | 208200000X | Surgeon | 35047874 | OH |
N | 208600000X | Surgeon | 35047874 | OH |
N | 2082S0105X | Plastic Hand Surgeon | 35047874 | OH |
N | 2086S0122X | Plastic and Reconstructive Surgery | 35 047874 | OH |
NPI | 1548259310 |
---|---|
Provider Name | Dr. Rank Orion Dawson JR. |
First Address | Miramar, FL 33027-6314 |
Second Address | Cincinnati, OH 45238-1608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 15/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0937115 | (05) | OH |
E17116 | (02) |