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Fred Jeston Dawson, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1316106131

Fred Jeston Dawson is a Diagnostic Radiology Physician based in Provo, UT and is specialized in Diagnostic Radiology. Fred Jeston Dawson practices in Provo, UT and has the professional credentials of MD. The NPI Number for Fred Jeston Dawson is 1316106131 and holds a License No. 11013885A (Utah).

The current practice location address for Fred Jeston Dawson is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-812-4624 and via fax at 801-812-4699.

Location: 1055 N 500 W, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316106131
Provider Name
Fred Jeston Dawson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-812-4624
Fax Number
801-812-4699
Provider Enumeration Date
06/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
915540 05 AZ
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-4624
Fax Number
801-812-4699
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-4624
Fax Number
801-812-4699
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
11013885A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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