Individual
GARY WESLEY DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
852 VALLEY CENTRE DR, DRIGGS, ID 83422-5005
(208) 354-4757
Mailing address
852 VALLEY CENTRE DR, DRIGGS, ID 83422-5005
(208) 354-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6529A
WY
Other
Enumeration date
03/07/2007
Last updated
12/28/2012
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