MEDICARE: DAVID ALLEN DORSEY MD

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	A61230	CA

General Provider Information

NPI Number	:	1780658435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALLEN DORSEY MD

Provider Business Mailing Address
First Line	:	WILLIAM BEAUMONT ARMY MEDICAL CENTER
Second Line	:	18511 HIGHLANDER MEDICS STREET
City	:	EL PASO
State	:	TX
Zip	:	79918
Country	:	US
Telephone Number	:	915-742-0346
Fax Number	:

Provider Business Practice Location Address
First Line	:	WILLIAM BEAUMONT ARMY MEDICAL CENTER
Second Line	:	18511 HIGHLANDER MEDICS STREET
City	:	EL PASO
State	:	TX
Zip	:	79918
Country	:	US
Telephone Number	:	915-742-0346
Fax Number	:

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	11/08/2023

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