Individual
MARY L DOHRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 N KEENE ST STE 406, COLUMBIA, MO 65201-8104
(573) 884-3278
(573) 884-1351
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R7611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126987
BLUE CHOICE/BLUE SHIELD
MO
05
—
205003304
—
MO
01
—
2087020301
KANSAS MEDICAID
MO
01
—
2502038
UNITED HEALTHCARE
MO
01
—
433221
HEALTHLINK
MO
Enumeration date
05/16/2006
Last updated
10/02/2024
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