Provider Demographics
NPI:1578630356
Name:DAWSON, WARREN (ARRT)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:
Last Name:DAWSON
Suffix:
Gender:M
Credentials:ARRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92475
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20090-2475
Mailing Address - Country:US
Mailing Address - Phone:202-270-7829
Mailing Address - Fax:
Practice Address - Street 1:700 CONSTITUTION AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6058
Practice Address - Country:US
Practice Address - Phone:202-270-7829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC299345247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist