Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34341 | AZ |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 34341 | AZ |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 34341 | AZ |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 34341 | AZ |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 34341 | AZ |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 34341 | AZ |
NPI | 1205925260 |
---|---|
Provider Name | Dr. Todd M Doerr |
First Address | Phoenix, AZ 85038-9870 |
Second Address | Scottsdale, AZ 85255-4107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 16/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7146624 | AETNA PROVIDER ID (01) | AZ |
AZ0786641 | BCBS OF AZ ID # (01) | AZ |
I13061 | (02) | AZ |