Healthcare Provider Details

I. General information

NPI: 1851251144
Provider Name (Legal Business Name): SYDNEY IRENE DOSE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 N 8TH ST
MISSOURI VALLEY IA
51555-1102
US

IV. Provider business mailing address

20655 270TH ST
MC CLELLAND IA
51548-6331
US

V. Phone/Fax

Practice location:
  • Phone: 712-642-2784
  • Fax:
Mailing address:
  • Phone: 402-686-0302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3334
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number135554
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: