Healthcare Provider Details

I. General information

NPI: 1871567123
Provider Name (Legal Business Name): CHRISTINE ELIZABETH DORR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL NAVAL MEDICAL CENTER, DEPT OF OBGYN 8901 WISCONSIN AVENUE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

NATIONAL NAVAL MEDICAL CENTER, DEPT OF OBGYN 8901 WISCONSIN AVENUE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-1232
  • Fax: 301-295-0764
Mailing address:
  • Phone: 301-295-1232
  • Fax: 301-295-0764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0031129
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: