Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrik James Dotter, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659168508

Derrik James Dotter, DO is a Student in an Organized Health Care Education/Training Program in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
Phone: (480) 827-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659168508
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address1300 S Country Club Dr Ste 3, Mesa, AZ 85210-5162

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