Provider Demographics
NPI:1962476598
Name:DORSETT, TAMARA R (PA-C)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:R
Last Name:DORSETT
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6106 E BROWN RD
Mailing Address - Street 2:#102
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4954
Mailing Address - Country:US
Mailing Address - Phone:480-641-4646
Mailing Address - Fax:480-641-2270
Practice Address - Street 1:6106 E BROWN RD
Practice Address - Street 2:#102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4954
Practice Address - Country:US
Practice Address - Phone:480-641-4646
Practice Address - Fax:480-641-2270
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3384363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical