Individual
AMANDA L DOSTALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11 JOHN STARK HWY, NEWPORT, NH 03773-1807
(603) 863-4100
Mailing address
11 JOHN STARK HWY, NEWPORT, NH 03773-1807
(603) 863-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21309
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/11/2021
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