MEDICARE: WILLIAM R DORSEY D O INC

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
1	207VX0000X	Obstetrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548398761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM R DORSEY D O INC

Provider Business Mailing Address
First Line	:	2591 MIAMISBURG CENTERVILLE RD
Second Line	:	STE 301
City	:	DAYTON
State	:	OH
Zip	:	45459-3711
Country	:	US
Telephone Number	:	937-439-5252
Fax Number	:	937-439-9242

Provider Business Practice Location Address
First Line	:	2591 MIAMISBURG CENTERVILLE RD
Second Line	:	STE 301
City	:	DAYTON
State	:	OH
Zip	:	45459-3711
Country	:	US
Telephone Number	:	937-291-3118
Fax Number	:	937-439-9242

Authorized Official
Title or Position	:	OFFICE MANAGERS
Name	:	MRS. PAM S PALMER
Credential	:
Telephone Number	:	937-291-3118

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	12/28/2011

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