Individual
DR. JOHN PATRICK DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 724-5510
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
218108-1
NY
207Q00000X
Family Medicine Physician
Primary
MD070820L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018098280001
—
PA
05
—
02090417
—
NY
01
—
080176505
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039777
MEDICARE GROUP
PA
Enumeration date
02/22/2006
Last updated
03/04/2021
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