Individual
DR. TODD M DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20401 N 73RD ST, SUITE 175, SCOTTSDALE, AZ 85255-4107
(480) 353-0446
(877) 715-6428
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34341
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
34341
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
34341
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
34341
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
34341
AZ
207XX0801X
Orthopaedic Trauma Physician
34341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7146624
AETNA PROVIDER ID
AZ
01
—
AZ0786641
BCBS OF AZ ID #
AZ
Enumeration date
10/11/2006
Last updated
07/16/2014
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