Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 11798 | MD |
Y | 213EG0000X | General Practice | 11798 | MD |
NPI | 1003937657 |
---|---|
Provider Name | Dr. Rick Dawson |
First Address | Salisbury, MD 21801-5322 |
Second Address | Salisbury, MD 21801-5322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |