Provider Demographics
NPI:1508985987
Name:ADCOCK, DOROTHY MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:MARIE
Last Name:ADCOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WOOD SORREL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4324
Mailing Address - Country:US
Mailing Address - Phone:303-973-2066
Mailing Address - Fax:
Practice Address - Street 1:3176 SOUTH PEORIA COURT
Practice Address - Street 2:ESOTERIX COAGULATION
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1338
Practice Address - Country:US
Practice Address - Phone:303-563-8828
Practice Address - Fax:303-563-8814
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27353171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor