Dr DAWN R BACK is a female medical professional, specializing in Physician Assistant. She graduated in 2003.
COUNTY OF KIOWA HOSPITAL DISTRICT
1208 LUTHER ST
EADS
CO
810360817
Tel: 7194382251
| Npi | 1841273554 |
| Pac Id | 3173705357 |
| Professional Enrollment Id | I20140113001122 |
| Last Name | BACK |
| First Name | DAWN |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | COUNTY OF KIOWA HOSPITAL DISTRICT |
| Group Practice Pac Id | 5698716827 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1208 LUTHER ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EADS |
| State | CO |
| Zip Code | 810360817 |
| Phone Number | 7194382251 |
| Hospital Affiliation Ccn 1 | 061300 |
| Hospital Affiliation Lbn 1 | WEISBROD MEMORIAL COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | 061323 |
| Hospital Affiliation Lbn 2 | PROWERS MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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