Individual
ROY A DOERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017
(314) 205-6917
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036148287
IL
207L00000X
Anesthesiology Physician
Primary
2002017790
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208744607
—
MO
Enumeration date
08/30/2006
Last updated
08/15/2023
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