Dr. Paul Evans Dorosheff, d.c.
Chiropractor, Sports Physician in Cahokia, IL. Individual provider (NPI-1).
NPI number1104863984
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104863984
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Evans Dorosheff
- Credential
- d.c.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 038007626 | IL | Yes |
Practice location
1518 Camp Jackson RdCahokia, IL 62206-2561
Phone 314-471-8212 · Fax 618-337-7109
Mailing address
26499 Wohler AveGreenview, IL 62642-9574
Phone 314-471-8212 · Fax 618-337-7109
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