Individual
DR. DALE E DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 US HIGHWAY 61 STE N1500, FESTUS, MO 63028-4137
(636) 933-8050
(636) 933-8047
Mailing address
1390 US HIGHWAY 61 STE N1500, FESTUS, MO 63028-4137
(636) 933-8050
(636) 933-8047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R8C44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900128
UNITED HEALTHCARE
MO
01
—
200021442
RAILROAD MEDICARE
MO
05
—
202260816
—
MO
01
—
27145
BLUE CROSS BLUE SHIELD
MO
01
—
296287
HEALTHLINK
MO
01
—
3141523003
CIGNA
MO
01
—
42872
GROUP HEALTH PLAN
MO
01
—
4384095
AETNA
MO
Enumeration date
05/10/2006
Last updated
07/20/2020
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