| Thomas M Dawes Jr Md A Medical Corporation | |
|
116 S Palisade Dr Ste 210 Santa Maria CA 93454-8906 | |
| (825) 934-2488 | |
| (805) 934-2480 |
| Full Name | Thomas M Dawes Jr Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 116 S Palisade Dr Ste 210, Santa Maria, California |
| Authorized Official Name and Position | Thomas Michael Dawes (PRESIDENT CEO) |
| Authorized Official Contact | 8059342488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Dawes Jr Md A Medical Corporation 116 S Palisade Dr Ste 210 Santa Maria CA 93454-8906 Ph: (825) 934-2488 | Thomas M Dawes Jr Md A Medical Corporation 116 S Palisade Dr Ste 210 Santa Maria CA 93454-8906 Ph: (825) 934-2488 |
| NPI Number | 1891824496 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 7113911900 |
|---|---|
| Medicare Enrollment ID | O20040413001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891824496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69978 (California) | Primary |
| Provider Name | Thomas M Dawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386668473 PECOS PAC ID: 7012901804 Enrollment ID: I20040414000610 |
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