MEDICARE: BRANDON C DOZIER

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
1	363LF0000X	Family Nurse Practitioner	A155001	IA
2	363LA2100X	Acute Care Nurse Practitioner	A155001	IA

General Provider Information

NPI Number	:	1730731977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON C DOZIER

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-356-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 SYCAMORE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-6044
Country	:	US
Telephone Number	:	319-384-8822
Fax Number	:	319-354-1002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	09/06/2019

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Directions to “ BRANDON C DOZIER ” Practice Location

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