Provider Demographics
NPI:1609012509
Name:RICHARD DOYAN MD INC
Entity Type:Organization
Organization Name:RICHARD DOYAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-503-1171
Mailing Address - Street 1:1422 W WARNER RD
Mailing Address - Street 2:SUITE A102
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-7071
Mailing Address - Country:US
Mailing Address - Phone:606-503-1171
Mailing Address - Fax:
Practice Address - Street 1:1422 W WARNER RD
Practice Address - Street 2:SUITE A102
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7071
Practice Address - Country:US
Practice Address - Phone:606-503-1171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty