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Individual

ROBERT J DOELL

Active
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Individual

ROBERT J DOELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16208
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00013859
NHC CARE ADMINISTRATORS
01
063140
ANTHEM BCBS
05
100010174
TN
01
3046930
BLUE SHIELD OF TN
05
3051025
TN
05
5745934
VA
05
5900297
NC
01
649111267
KY MEDICAID
KY
01
TN0100
JOHN DEERE
Enumeration date
08/03/2005
Last updated
06/26/2008
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