NPI 1245657980

Jeffrey Dorsey, CSA

Practitioner Contractor Suffolk, VA

Practice location

Address: 5116 Hunters Creek Pl, Suffolk, VA 23435-2685
Phone: (757) 358-1954

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1245657980
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2014
Record last updated: 19 Mar 2014

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.