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DR. DOLORES VILLAMOR VICTORIA MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1992868178

Individual Registrant:
DR. DOLORES VILLAMOR VICTORIA MD
Gender: F
Sole Proprietor

Location and contact information for practice:
242 BROCKFORD ROAD  HEFLIN, AL 36264-1608 US
Tel: 256-492-0131  Fax: 334-382-1231

Contact information for business:
P.O. BOX 97  GADSDEN, AL 35902-0097 US
Tel: 256-492-0131  Fax: 256-494-6000

Registration Information:
NPI: 1992868178
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL11416

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
108712AL05




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