Individual
CLIFFORD L DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01059237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325645
BCBS - MARY STREET
IN
01
—
000000386249
BCBS - GATEWAY
IN
05
—
64081847
—
KY
05
—
824749559 PYE 1
—
IL
01
—
P00142364
RR MCARE PIN
IN
Enumeration date
07/12/2006
Last updated
07/09/2007
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