Individual
RICHARD S DOBRUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3805 E BELL RD FL 2, PHOENIX, AZ 85032-2105
(800) 233-3264
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(623) 277-2370
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
2578
AZ
207Q00000X
Family Medicine Physician
Primary
2578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2578
STATE LICENSE
AZ
Enumeration date
01/25/2006
Last updated
12/06/2021
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