Individual
VIVIEN J DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 724-2000
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 828-3877
(505) 796-3511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95-44
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'000J3647
—
NM
Enumeration date
02/07/2006
Last updated
10/08/2015
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