Individual
DR. AMANDA DOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
46 E 15TH ST, EDMOND, OK 73013-4301
(405) 844-5210
Mailing address
1138 N ALMA SCHOOL RD, MESA, AZ 85201-3002
(480) 924-8382
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5152
OK
207Q00000X
Family Medicine Physician
5152
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2010
Last updated
03/23/2023
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