Doctor Name: | EDWARD J DOYLE |
NPI Number: | 1558362822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD117470 |
Business Practice Address: | 408 S Broadview St Cape Girardeau, MO - 637035725 |
Business Phone Number: | 5733391196 |
Business Fax Number: | 5733397945 |
Mailing Address: | 109 Hwy 51 North, Po Box 349 MARBLE HILL |
State: | MO |
Postal Code: | 63764 |
Phone Number: | 5732382725 |
Fax Number: | 5732383795 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD117470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |