Provider Demographics
NPI:1093151508
Name:D'OYLEY, ANTHONY ALEXANDER JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ALEXANDER
Last Name:D'OYLEY
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2625 E DIVISADERO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1431
Mailing Address - Country:US
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Mailing Address - Fax:
Practice Address - Street 1:2823 FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1324
Practice Address - Country:US
Practice Address - Phone:559-459-3705
Practice Address - Fax:559-459-3720
Is Sole Proprietor?:No
Enumeration Date:2013-05-12
Last Update Date:2021-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA52933363AS0400X
CAPA52933363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical