Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 16459 | CA |
NPI | 1043502677 |
---|---|
Provider Name | Melissa Leigh Dawson |
First Address | Chico, CA 95973-7823 |
Second Address | Chico, CA 95926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 12/10/2018 |