Individual
DR. DORSEY WILLIAM DYSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOLLAND RD, BALLWIN, MO 63021
(636) 386-6611
(636) 386-6622
Mailing address
800 HOLLAND RD, BALLWIN, MO 63021
(636) 386-6611
(636) 386-6622
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
R6D13
MO
2084N0400X
Neurology Physician
R6D13 20526
MO
2084P0800X
Psychiatry Physician
Primary
R6D13 15424
MO
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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