Whalio Doctors

NPI 1023637345

Jamie Roshun Dawson

Practitioner Contractor Phoenix, AZ

Practice location

Address
13229 S 48th St APT 3051, Phoenix, AZ 85044
Phone
(501) 952-1976
Mailing address
Intermountain Centers for Human Development INC. PO Box 86537, Tuscon, AZ 85754-6537

Registered specialties (2)

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence 10125986 (AZ)
Child Mental Illness Respite Care
Respite Care Facility Taxonomy 385HR2055X Licence 10125986 (AZ)

Registry record

NPI
1023637345
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Apr 2020
Record last updated
11 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.