Individual
STEPHEN C. DOBRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2205 W MAIN ST, RUSSELLVILLE, AR 72801-2759
(479) 968-4311
(479) 968-4399
Mailing address
2205 W MAIN ST, RUSSELLVILLE, AR 72801-2759
(479) 968-2345
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19731
OK
207RI0011X
Interventional Cardiology Physician
19731
OK
207RI0011X
Interventional Cardiology Physician
Primary
E-11638
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031210A
—
OK
Enumeration date
05/23/2005
Last updated
01/18/2019
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