Provider Demographics
NPI:1720696495
Name:ROBERT D. PEARSON PC
Entity Type:Organization
Organization Name:ROBERT D. PEARSON PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-867-8719
Mailing Address - Street 1:1251 NORTHFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-8623
Mailing Address - Country:US
Mailing Address - Phone:435-867-8719
Mailing Address - Fax:435-867-5763
Practice Address - Street 1:1251 NORTHFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-8623
Practice Address - Country:US
Practice Address - Phone:435-867-8719
Practice Address - Fax:435-867-5763
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT D PEARSON PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep MedicineGroup - Single Specialty