Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0777 | AZ |
NPI | 1043525314 |
---|---|
Provider Name | Dr. Dustin Doyle |
First Address | Glendale, AZ 85306-4673 |
Second Address | Glendale, AZ 85306-4673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2010 |
Last Update Date | 02/09/2020 |