Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | ME93818 | FL |
N | 208000000X | Pediatrician | ME93818 | FL |
Y | 2080P0201X | Pediatric Allergist | C55827 | CA |
N | 2080P0201X | Pediatric Allergist | ME93818 | FL |
NPI | 1487663019 |
---|---|
Provider Name | Dr. Morna Jean Dorsey |
First Address | San Francisco, CA 94143 |
Second Address | San Francisco, CA 94158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 20/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273410900 | (05) | FL |
28724 | BLUE CROSS BLUE SHIELD (01) | FL |
I39024 | (02) | FL |