MEDICARE: DAVID DOYLE, PC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1366851115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID DOYLE, PC

Provider Business Mailing Address
First Line	:	1230 TENDERFOOT HILL RD
Second Line	:	SUITE 155
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-7346
Country	:	US
Telephone Number	:	719-527-3383
Fax Number	:	719-527-2688

Provider Business Practice Location Address
First Line	:	1230 TENDERFOOT HILL RD
Second Line	:	SUITE 155
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-7346
Country	:	US
Telephone Number	:	719-527-3383
Fax Number	:	719-527-2688

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID DOYLE
Credential	:	DC
Telephone Number	:	719-527-3383

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

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