Individual
CARL RAYMOND DOERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 CHRISTY DR, SUITE 215, JEFFERSON CITY, MO 65101-5195
(573) 659-5500
(573) 659-5505
Mailing address
1705 CHRISTY DR, SUITE 215, JEFFERSON CITY, MO 65101-5195
(573) 659-5500
(573) 659-5505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MDR9541
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201704814
—
MO
Enumeration date
09/02/2005
Last updated
06/13/2024
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