Individual
KURT O DOGGWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1310 24TH AVE S # 114, NASHVILLE, TN 37212-2637
(615) 873-7765
(615) 873-8321
Mailing address
PO BOX 21609, CARSON CITY, NV 89721-1609
(775) 884-2455
(775) 884-0345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9000
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104927300
—
NV
05
—
1942206933
—
CA
01
—
P000606388
RAILROAD MEDICARE
NV
Enumeration date
06/23/2005
Last updated
10/15/2018
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