Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 60085 | CA |
N | 1223P0106X | Oral and Maxillofacial Pathology | 7084 | AZ |
NPI | 1629168265 |
---|---|
Provider Name | Dr. Allan Joseph Dovigi |
First Address | San Diego, CA 92123-1331 |
Second Address | San Diego, CA 92123-1331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 25/01/2016 |