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Individual

DENNIS B DOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S COULTER, AMARILLO, TX 79106-1786
(806) 354-5696
(806) 354-5693
Mailing address
1400 WALLACE BLVD, ATTN: CREDENTIALING, AMARILLO, TX 79106-1708
(806) 354-5585
(806) 356-4673

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4343
TX
2086S0127X
Trauma Surgery Physician
L4343
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041938401
TX
05
100004930A
OK
05
Z2717
NM
Enumeration date
07/05/2006
Last updated
08/26/2011
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