Individual
DR. MICHAEL GREGORY DOORLY
Active
Individual
DR. MICHAEL GREGORY DOORLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A116072
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1160720
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
09/23/2008
Last updated
04/14/2016
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