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Individual

DOROTHY J TODT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5885 SUNNYBROOK DR, SUITE E-100, SIOUX CITY, IA 51106-4203
(712) 266-2700
(712) 266-2759
Mailing address
5885 SUNNYBROOK DR, SUITE E-100, SIOUX CITY, IA 51106-4203
(712) 266-2700
(712) 266-2759

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40401
IA
207Q00000X
Family Medicine Physician
MD40401
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
IA00606
IA
Enumeration date
06/30/2009
Last updated
08/06/2019
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