Individual
ELIZABETH J DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
754 N MAIN, ST GEORGE, UT 84770
(435) 628-2671
Mailing address
1179 REDWOOD TREE ST, ST GEORGE, UT 84790-6919
(435) 674-2482
(435) 674-2482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132166
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942989
—
AZ
05
—
942989-03
—
AZ
01
—
P00630859
RAILROAD MEDICARE PART B
UT
Enumeration date
03/09/2006
Last updated
11/21/2008
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