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Organization
DONALD D DOTY
Active
Organization
DONALD D DOTY
Active
Other names
Doty Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOANLD DEAN DOTY MD (OWNER/PRESIDENT)
(909) 337-3661
Entity
Organization
Contact information
Practice address
29099 HOSPITAL RD, STE 112, LAKE ARROWHEAD, CA 92352
(909) 337-3661
(909) 337-3570
Mailing address
PO BOX 773, BLUE JAY, CA 92317-0773
(909) 337-3661
(909) 337-3570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G06093
CA
Other
Enumeration date
01/23/2009
Last updated
10/14/2009
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