Individual
ANGELA R DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4702
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296736
—
AZ
05
—
38670577
—
NM
Enumeration date
10/23/2007
Last updated
02/01/2012
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