Healthcare Provider Details

I. General information

NPI: 1548398761
Provider Name (Legal Business Name): WILLIAM R DORSEY D O INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 12/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2591 MIAMISBURG CENTERVILLE RD STE 301
DAYTON OH
45459-3711
US

IV. Provider business mailing address

2591 MIAMISBURG CENTERVILLE RD STE 301
DAYTON OH
45459-3711
US

V. Phone/Fax

Practice location:
  • Phone: 937-291-3118
  • Fax: 937-439-9242
Mailing address:
  • Phone: 937-439-5252
  • Fax: 937-439-9242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAM S PALMER
Title or Position: OFFICE MANAGERS
Credential:
Phone: 937-291-3118