Individual
EDWARD J DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5725
(573) 339-1196
(573) 339-7945
Mailing address
109 HWY 51 NORTH, PO BOX 349, MARBLE HILL, MO 63764
(573) 238-2725
(573) 238-3795
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD117470
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00104399
RAILROAD MEDICARE
MO
Enumeration date
08/09/2005
Last updated
03/27/2008
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