Fred Jeston Dawson, MD
Fred Jeston Dawson, MD is a Diagnostic Radiology in Provo, Utah. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Arizona, Indiana and Utah.
- Years since qualifying
- 19
- Trained at
- Medical College of Wisconsin
- Licensed in
- AZ, IN, UT
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1055 N 500 W Ste 112Provo, UT 84604-3305
Phone: (801) 812-4624
Fax: (801) 812-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 9282119-1205 (UT) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 11013885A (IN) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 41926 (AZ) |
Record details
| NPI number | 1316106131 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 6, 2008 |
| Last updated in NPPES | March 20, 2025 |
| Certification date | March 20, 2025 |
| Mailing address | 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 2007 (19 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Provo
-
Kimball Lael Christianson, MD
1055 N 500 W Ste 112 Bldg C, Provo, UT 84604 · (801) 812-4624
-
Dr. Daniel Lyman Corey, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 225-6246
-
Dr. David R Cottam, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 224-3555
-
Tyler L Crawford, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 373-7850
-
Val D Dunn, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 373-7850
-
Dr. Lance Dustin Edmonds, MD
1055 N 500 W Ste 112, Provo, UT 84604-3305 · (801) 812-4624
-
Conrad Curtis Gibby, MD
3152 N University Ave, Provo, UT 84604-4745 · (801) 229-2002
-
Wendell A Gibby, MD
3152 N University Ave Ste 100, Provo, UT 84604-4729 · (801) 229-2002