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Organization
MICHAEL P. DOYLE, M.D.
Active
Organization
MICHAEL P. DOYLE, M.D.
Active
Other names
Lake Tahoe Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P DOYLE M.D. (OWNER)
(530) 541-6100
Entity
Organization
Contact information
Practice address
2074 LAKE TAHOE BLVD STE 9, SOUTH LAKE TAHOE, CA 96150-6417
(530) 541-6100
(530) 541-5945
Mailing address
2074 LAKE TAHOE BLVD STE 9, SOUTH LAKE TAHOE, CA 96150-6417
(530) 541-6100
(530) 541-5945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G71419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7876
NV LICENCE
NV
01
—
G71419
CA LICENCE
CA
05
—
GR0005620
—
CA
Enumeration date
02/28/2008
Last updated
02/28/2008
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