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Dorsie Sullenger
NPI 1831682194 · on the registry since 2018
Practice
- Address
- 450 E Main St
Rexburg, ID 83440 - Phone
- (208) 359-6484
- Fax
- (208) 359-6467
- Organisation at this address
- Madison Memorial Hospital
Madison Memorial Hospital
Madison Physician Services
Mountain Valley Imaging Llc
Madison Co Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho