Individual
DR. DENNIS P. DOBARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 W ELFINDALE STREET, SPRINGFIELD, MO 65807
(417) 708-9089
(417) 708-9089
Mailing address
1721 W ELFINDALE STREET, SPRINGFIELD, MO 65807
(417) 708-9089
(417) 708-9089
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
105501
MO
2084P0800X
Psychiatry Physician
MDR105501
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063554038
—
MO
05
—
126374001
—
AR
05
—
207699505
—
MO
01
—
81733
AR BLUE SHIELD #
MO
01
—
P00472586
RR MEDICARE
—
Enumeration date
02/13/2007
Last updated
05/02/2022
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