Organization
TONY W DOTSON, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY W DOTSON DO (PRESIDENT)
(606) 325-6888
Entity
Organization
Contact information
Practice address
617 23RD ST STE 415, ASHLAND, KY 41101
(606) 325-6888
(606) 326-9368
Mailing address
617 23RD ST STE 415, ASHLAND, KY 41101-2882
(606) 325-6888
(606) 326-9368
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02552
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0974603
MEDICARE ID-TYPE UNSPECIFIED
KY
05
—
64035538
—
KY
Enumeration date
08/27/2009
Last updated
08/27/2009
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