Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101050719 | VA |
N | 207YS0123X | Facial Plastic Surgeon | 0101050719 | VA |
NPI | 1821054248 |
---|---|
Provider Name | Dr. Deborah Joan Doyle |
First Address | Fairfax, VA 22030-2503 |
Second Address | Fairfax, VA 22031-5207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 02/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006500382 | (05) | VA |
0101050719 | VIRGINIA LICENSE # (01) | VA |
E64568 | (02) |