Individual
DOROTHY L DARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(505) 538-2981
(505) 388-3373
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(505) 538-2981
(505) 388-3373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
95-PA17
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1742
—
NM
Enumeration date
04/25/2006
Last updated
09/27/2007
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