Individual
DOYLE D HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1679 E MAIN ST, EL CAJON, CA 92021-5212
(619) 442-9441
(619) 442-1510
Mailing address
514 S MAGNOLIA AVE, EL CAJON, CA 92020-6011
(619) 442-4468
(619) 442-6432
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C39762
CA
207ND0101X
MOHS-Micrographic Surgery Physician
C39762
CA
207ND0900X
Dermatopathology Physician
C39762
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
C39762
CA
207NP0225X
Pediatric Dermatology Physician
C39762
CA
207NS0135X
Procedural Dermatology Physician
C39762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017821
—
CA
Enumeration date
10/23/2006
Last updated
03/26/2008
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