Stephen C. Dobratz
Interventional Cardiology Internist - Cardiovascular Disease
2205 W Main St
Russellville
, Arkansas 72801-2759
Stephen C. Dobratz
Interventional Cardiology Internist - Cardiovascular Disease
2205 W Main St
Russellville
, Arkansas 72801-2759
(479) 968-2345
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Stephen C. Dobratz
- 2205 W Main St
- Russellville, AR
- Zip : 72801-2759
- Phone : (479) 968-2345
Second Address
- Stephen C. Dobratz
- 2205 W Main St
- Russellville, AR
- Zip : 72801-2759
- Fax : (479) 968-4399
- Phone : (479) 968-4311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 19731 | OK |
| N | 207RI0011X | Interventional Cardiology | 19731 | OK |
| Y | 207RI0011X | Interventional Cardiology | E-11638 | AR |
National Provider Identifier
| NPI | 1023011194 |
|---|---|
| Provider Name | Stephen C. Dobratz |
| First Address | Russellville, AR 72801-2759 |
| Second Address | Russellville, AR 72801-2759 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 18/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100031210A | (05) | OK |
| E16667 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.