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NPI Code Detail

MEDICARE: TIMOTHY J DOYLE MD LTD

MEDICARE: TIMOTHY J DOYLE MD LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD7284NV

General Provider Information

NPI Number : 1396826897
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIMOTHY J DOYLE MD LTD
Provider Business Mailing Address
First Line : PO BOX 34120
Second Line :
City : RENO
State : NV
Zip : 89533-4120
Country : US
Telephone Number : 775-747-5050
Fax Number : 775-747-5005
Provider Business Practice Location Address
First Line : 923 MOUNTAIN ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-3819
Country : US
Telephone Number : 775-884-4446
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TIMOTHY J. DOYLE
Credential : MD
Telephone Number : 775-884-4446
Provider Enumeration Date : 10/18/2006
Last Update Date : 06/30/2008

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