Individual
DR. HERMAN ALLEN DOBBS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 768-8003
Mailing address
387 N 2ND AVE, UNIT 1B, PHOENIX, AZ 85003-1540
(602) 616-3118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34742
AZ
207Q00000X
Family Medicine Physician
96-44
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590134
MEDICAID
AZ
Enumeration date
04/09/2006
Last updated
07/09/2007
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