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1518925593
STANLEY K DORST
JEFFERSON CITY, MO
NPI
1518925593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2000168795)
Enumeration Date
2006-05-01
Last Update Date
2007-11-09
Business Address
-- STANLEY K DORST MD
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
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Mailing Address
-- STANLEY K DORST MD
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-5264
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