Provider Demographics
NPI:1730398199
Name:DOTSON, VICTORIA (CCP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:DOTSON
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 W ROUSSEAU ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-4234
Mailing Address - Country:US
Mailing Address - Phone:520-730-7287
Mailing Address - Fax:
Practice Address - Street 1:1501 N. CAMPBELL AV #4402
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724
Practice Address - Country:US
Practice Address - Phone:520-626-6339
Practice Address - Fax:520-626-4042
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist