Doctor Name: | DR. SUSAN ANN DOTZLER |
NPI Number: | 1497731814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101059197 |
Business Practice Address: | U.s. Naval Hospital Psc 482 Fpo, AP - 96362-1600 |
Business Phone Number: | 011816117437520 |
Business Fax Number: | |
Mailing Address: | Psc 482 Box 2914, FPO |
State: | AP |
Postal Code: | 96362 |
Phone Number: | 011816116437520 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 0101059197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |