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NPI Code Detail

MEDICARE: MR. PAUL W DOBBS APRN

MEDICARE: MR. PAUL W DOBBS APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerA006002AR

General Provider Information

NPI Number : 1518439462
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL W DOBBS APRN
Provider Business Mailing Address
First Line : 1500 DODSON AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-5182
Country : US
Telephone Number : 479-709-7325
Fax Number :
Provider Business Practice Location Address
First Line : 5700 PHOENIX PL
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5782
Country : US
Telephone Number : 794-441-2601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 09/19/2023

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