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Individual

AMANDA DOCKRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 688-6400
Mailing address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50005277RX
OH

Other

Enumeration date
09/15/2017
Last updated
09/05/2019
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