Individual
DOAK PETER DOOLITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 N ASH ST, GORDON, NE 69343-1132
(308) 282-1442
(308) 282-1428
Mailing address
807 N ASH ST, GORDON, NE 69343-1132
(308) 282-1442
(308) 282-1428
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16268
NE
208600000X
Surgery Physician
Primary
R8D67
MO
208D00000X
General Practice Physician
04-19991
KS
Other
Enumeration date
01/24/2006
Last updated
12/05/2019
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