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Individual

ANDREA OVERTURF DOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
945 GOETHALS DRIVE, SUITE 200, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2340
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60043072
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60043072
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0245629
LABOR & INDUSTRIES
WA
05
8541492
WA
Enumeration date
10/28/2008
Last updated
05/11/2021
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