Individual
MARY BETH DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7018
(618) 256-7594
Mailing address
5 MATTHEW ALLEN CT, TROY, IL 62294-4009
(757) 763-9933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101242353
VA
208000000X
Pediatrics Physician
0116018403
VA
208000000X
Pediatrics Physician
Primary
036.126007
IL
Other
Enumeration date
12/15/2006
Last updated
01/25/2012
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