Individual
DONNA LIANNE DOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15215 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-3235
(301) 519-0902
(301) 519-0905
Mailing address
15215 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-3235
(757) 873-1554
(757) 873-3239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002867
VA
363AM0700X
Medical Physician Assistant
Primary
C0008661
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002867
STATE MEDICAL LICENSE
VA
Enumeration date
09/26/2008
Last updated
06/07/2023
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