Individual
MICHELLE DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 559-5000
Mailing address
601 AVENIDA CESAR E CHAVEZ APT 117, KANSAS CITY, MO 64108-2388
(404) 242-9105
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2611
NE
363AS0400X
Surgical Physician Assistant
PA.0007306
CO
Other
Enumeration date
05/28/2021
Last updated
08/09/2023
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