Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2011013562 | MO |
N | 208200000X | Surgeon | 2011013562 | MO |
N | 208600000X | Surgeon | 2011013562 | MO |
Y | 208200000X | Surgeon | ME151308 | FL |
Y | 208600000X | Surgeon | ME151308 | FL |
NPI | 1013905520 |
---|---|
Provider Name | Robert Francis Dorsey |
First Address | Poplar Bluff, MO 63901-8938 |
Second Address | Poplar Bluff, MO 63901-8938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 12/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013905520 | (05) | MO |