Individual
DR. CLYDE H. DORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 416-2400
(850) 416-2467
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-7800
(850) 416-4937
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME92339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255346500
—
FL
Enumeration date
06/07/2006
Last updated
09/30/2014
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