# BRIAN W DOSSETT MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396861050
- **Authorized official:** DR. BRIAN W DOSSETT MD (OWNER)
- **Authorized official phone:** (618) 283-4469

## Contact information

- **Practice address:** 1029 N 8TH ST, VANDALIA, IL 62471-1238
- **Practice address phone:** (618) 283-4469
- **Practice address fax:** (618) 283-4794
- **Mailing address:** 1029 N 8TH ST, VANDALIA, IL 62471-1238
- **Mailing address phone:** (618) 283-4469
- **Mailing address fax:** (618) 283-4794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0360797771 | IL | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 06/10/2025
