Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 036131027 | IL |
Y | 207Q00000X | Family Doctor | MD163365 | OR |
NPI | 1003049818 |
---|---|
Provider Name | Dr. Volodymyr Y. Dovhyy |
First Address | Medford, OR 97504-8383 |
Second Address | Grants Pass, OR 97527-5535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2009 |
Last Update Date | 19/08/2014 |