Individual
MR. RICHARD W DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0126000825
VA
363AM0700X
Medical Physician Assistant
Primary
0110002639
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000825
LICENSE
VA
Enumeration date
09/20/2007
Last updated
03/14/2022
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