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Individual

BETSY B DOKKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-8888
(520) 694-2565
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-7400
(520) 874-3425

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN052741
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440032
AZ
01
500006972
RR MEDICARE
AZ
Enumeration date
08/13/2006
Last updated
05/29/2008
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