Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD427868 | PA |
N | 111NI0900X | Internist | MD427868 | PA |
Y | 207RR0500X | Rheumatology | MD427868 | PA |
NPI | 1083740849 |
---|---|
Provider Name | Mittie K Doyle |
First Address | Philadelphia, PA 19104-4208 |
Second Address | Philadelphia, PA 19104-4208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 24/04/2012 |