Organization
KEVIN S DOYLE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S DOYLE MD (MEMBER OF PLLC)
(928) 541-0859
Entity
Organization
Contact information
Practice address
905 ANGELITA DR, PRESCOTT, AZ 86303-5019
(928) 541-0859
Mailing address
905 ANGELITA DR, PRESCOTT, AZ 86303-5019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24495
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362624
—
AZ
Enumeration date
05/11/2007
Last updated
08/22/2020
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