Individual
HOWARD LESLIE DORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57108
CA
2085R0204X
Vascular & Interventional Radiology Physician
G57108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G571080
BLUE SHIELD OF CA
—
05
—
00G571080
—
CA
01
—
00G571080 M46
CALOPTIMA
—
01
—
053304CA53237
TRAILBLAZER
—
01
—
P00151437
RAILROAD MEDICARE
—
Enumeration date
07/22/2005
Last updated
08/18/2008
Update your record
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