Individual provider · Type 1 NPI

Michael John Doyle, PA-C(PHYS ASST)

Medical Physician Assistant · Pocatello, ID

NPI number 1124040506 Active

Practice location

921 S 8th Ave Stop 8311
Pocatello, ID 83209-0002

Call (208) 282-2330 Map

Fax (208) 282-4036

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-085 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1124040506

Michael John Doyle, PA-C(PHYS ASST)'s National Provider Identifier is 1124040506, issued on Jul 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.