Individual
COLIN STEPHEN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3779 SWALLOWS NEST CT, CLARKSTON, WA 99403-1738
(208) 503-0629
Mailing address
3779 SWALLOWS NEST CT, CLARKSTON, WA 99403-1738
(208) 503-0629
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M-3499
ID
207Y00000X
Otolaryngology Physician
MD00014948
WA
208600000X
Surgery Physician
Primary
M-3499
ID
208600000X
Surgery Physician
MD00014948
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003514
REGENCE BLUESHIELD OF ID
—
05
—
002456000
—
ID
05
—
1103407
—
WA
01
—
S3085
BLUE CROSS OF IDAHO
—
Enumeration date
09/27/2006
Last updated
12/14/2015
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