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Individual

DR. BRANDON JAMES DOSKOCIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A123344
CA
2085R0204X
Vascular & Interventional Radiology Physician
A123344
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123344
CALIFORNIA MEDICAL LICENSE
CA
01
72623
PERMIT NUMBER
AZ
Enumeration date
05/13/2011
Last updated
02/11/2022
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