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NPI Code Detail

MEDICARE: DORCAS JOAN SANDNESS M.D.

MEDICARE: DORCAS JOAN SANDNESS M.D.
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
1207P00000XEmergency Medicine PhysicianA96974CA
2207P00000XEmergency Medicine PhysicianE-5346AR
3207P00000XEmergency Medicine Physician45836TX

General Provider Information

NPI Number : 1033311980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORCAS JOAN SANDNESS M.D.
Provider Business Mailing Address
First Line : PO BOX 12024
Second Line :
City : FORT SMITH
State : AR
Zip : 72917-2024
Country : US
Telephone Number : 479-926-1258
Fax Number :
Provider Business Practice Location Address
First Line : 900 S 3RD ST
Second Line :
City : MC GEHEE
State : AR
Zip : 71654-2562
Country : US
Telephone Number : 870-222-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 04/23/2025

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