Doctor Name: | SUSAN KAREN DOBIS |
NPI Number: | 1124150404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | RN102191 |
Business Practice Address: | 905 El Camino Real Sierra Vista, AZ - 856355456 |
Business Phone Number: | 5205152996 |
Business Fax Number: | |
Mailing Address: | 9128 So. Oakridge Drive, P.o. Box 475 HEREFORD |
State: | AZ |
Postal Code: | 85615 |
Phone Number: | 5203664139 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN102191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |