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Individual
DR. PETER JAMES DOLL
Active
Individual
DR. PETER JAMES DOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00183
KY
213E00000X
Podiatrist
07000639A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039574
BCBS
KY
01
—
1118554
PASSPORT
—
01
—
1191087
CHA
—
05
—
200088150A
—
IN
01
—
480032960
RAILROAD MEDICARE
—
05
—
80001837
—
KY
Enumeration date
08/12/2006
Last updated
07/21/2022
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