Individual
VERONICA G DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
767 W NORTH ST, FAYETTEVILLE, AR 72701-1865
(479) 966-5088
(479) 282-0469
Mailing address
767 W NORTH ST, FAYETTEVILLE, AR 72701-1865
(479) 966-5088
(479) 752-3235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-344
AR
363AM0700X
Medical Physician Assistant
C0003467
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-344
STATE LICENSE
AR
Enumeration date
01/31/2007
Last updated
03/07/2023
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