Individual
DONALD DEANE DOTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108-2940
(505) 266-1700
(505) 266-1701
Mailing address
908 POCO CERRO CT SE, ALBUQUERQUE, NM 87123-4193
(505) 323-8187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/04/2008
Last updated
03/03/2011
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