Individual
MR. MICHAEL PAUL DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 DIVISION ST APT 1S, GROTON, CT 06340-5015
(760) 500-3776
Mailing address
2333 KAPIOLANI BLVD APT 1015, HONOLULU, HI 96826-4420
(760) 500-3776
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
09/06/2013
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