Individual
DR. PAUL MANSFIELD DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1115 S TYLER ST, COVINGTON, LA 70433-2327
(985) 892-2200
(985) 892-1440
Mailing address
1115 S TYLER ST, COVINGTON, LA 70433-2327
(985) 892-2200
(985) 892-1440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
03425R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171468
—
LA
01
—
720922555
FEDERAL TAX I
LA
Enumeration date
02/06/2006
Last updated
04/12/2012
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