Organization
PER A DOVRE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PER A DOVRE MD (PRESIDENT/MD)
(530) 872-2229
Entity
Organization
Contact information
Practice address
6283 CLARK RD, SUITE 8, PARADISE, CA 95969-4100
(530) 872-2229
(530) 872-3308
Mailing address
6283 CLARK RD, SUITE 8, PARADISE, CA 95969-4100
(530) 872-2229
(530) 872-3308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G19317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
01/19/2010
Last updated
01/19/2010
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