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 |
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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 |
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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 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 06/23/2023 |
Medicare PECOS PAC ID | 7113911900 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386668473 PECOS PAC ID: 7012901804 Enrollment ID: I20040414000610 |
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