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Individual

HAEDAN DOTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
PO BOX 67, FLAGSTAFF, AZ 86002-0067
(678) 538-8112
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-7233

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
011015
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011015
STATE PHYSICIAN LICENSE
AZ
Enumeration date
05/24/2021
Last updated
06/25/2024
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