Individual
MR. MICHAEL JOHN DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C(PHYS ASST)
Contact information
Practice address
921 S 8TH AVE STOP 8311, POCATELLO, ID 83209-0002
(208) 282-2330
(208) 282-4036
Mailing address
921 S 8TH AVE STOP 8311, POCATELLO, ID 83209-0002
(208) 282-4036
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-085
ID
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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