Healthcare Provider Details
I. General information
NPI: 1982821823
Provider Name (Legal Business Name): DAVID JOHN DORSEY CSFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/20/2007
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 HILLTOP PARK WAY
STEAMBOAT SPRINGS CO
80487
US
IV. Provider business mailing address
PO BOX 770422
STEAMBOAT SPRINGS CO
80477-0422
US
V. Phone/Fax
- Phone: 970-846-6118
- Fax: 970-871-4847
- Phone: 970-846-6118
- Fax: 970-871-4847
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: