Organization
ROBERT ANTHONY DORMAN MD PA
Active
Parent organization
ROBERT ANTHONY DORMAN MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT ANTHONY DORMAN MD PA
Authorized official
DR. ROBERT ANTHONY DORMAN M.D. ,P.A. (OWNER)
(870) 246-6766
Entity
Organization
Contact information
Practice address
2850 TWIN RIVERS DR STE 101A, ARKADELPHIA, AR 71923-4226
(870) 246-6766
(870) 246-3860
Mailing address
2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
(870) 246-6766
(870) 246-3860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C-5783
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51418
BLUECROSS AND BLUE SHIELD
AR
Enumeration date
09/13/2006
Last updated
05/03/2011
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