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Individual
EMERY CHARLES DOUVILLE
Active
Individual
EMERY CHARLES DOUVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00029081
WA
208600000X
Surgery Physician
MD17068
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD17068
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026497
—
OR
Enumeration date
08/11/2005
Last updated
06/04/2021
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