NPI 1093064560

Michael Paul Dorris

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 16 Division St APT 1s, Groton, CT 06340-5015
Phone: (760) 500-3776
Mailing address: 2333 Kapiolani Blvd APT 1015, Honolulu, HI 96826-4420

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1093064560
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2012
Record last updated: 6 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.