Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 3801 | AZ |
NPI | 1821269192 |
---|---|
Provider Name | Mrs. Valerie K. Doyle |
First Address | Phoenix, AZ 85008-6462 |
Second Address | Prescott, AZ 86301-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2008 |
Last Update Date | 24/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
321743 | (05) | AZ |