Individual
MR. VICTOR JEROME DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM RSS WC
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
1300 NW 173RD ST, EDMOND, OK 73012-6972
(140) 562-5040
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
11/06/2023
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