Organization
KURT O DOGGWILER MD PHD LTD
Active
Other names
Northeastern Nevada Imaging Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KURT O DOGGWILER M.D. (OWNER)
(775) 884-2455
Entity
Organization
Contact information
Practice address
2001 ERRECART BLVD, ELKO, NV 89801-8333
(775) 748-2037
(775) 748-2288
Mailing address
PO BOX 21609, CARSON CITY, NV 89721-1609
(775) 884-2455
(775) 884-0345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9000
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104927300
—
NV
Enumeration date
09/26/2006
Last updated
12/28/2009
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