Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 2008024818 | MO |
N | 2086S0102X | Surgical Critical Care | 2008024818 | MO |
N | 2086X0206X | Surgical Oncologist | 2008024818 | MO |
NPI | 1700903820 |
---|---|
Provider Name | Dr. Maria Bernadette Doyle |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205473804 | (05) | MO |