Individual
MR. TOMMY R DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
904 WOLLARD BLVD, RICHMOND, MO 64085-2229
(816) 470-5432
(816) 470-7343
Mailing address
32162 FISHING RIVER RD, LAWSON, MO 64062-9643
(816) 630-0452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R1E52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MOR1E52
—
MO
Enumeration date
02/02/2006
Last updated
03/26/2015
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