Provider Demographics
NPI:1154601193
Name:DOBSON, BRENNA KATHLEEN (PA-C)
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:KATHLEEN
Last Name:DOBSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:252 W SWAMP RD
Mailing Address - Street 2:SUITE 41
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2422
Mailing Address - Country:US
Mailing Address - Phone:215-348-1706
Mailing Address - Fax:215-348-0321
Practice Address - Street 1:252 W SWAMP RD
Practice Address - Street 2:SUITE 41
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2422
Practice Address - Country:US
Practice Address - Phone:215-348-1706
Practice Address - Fax:215-348-0321
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2012-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054948363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical