MR. RUSSELL WAYNE DOYLE PA NPI 1720096449

NPI Information

NPI: 1720096449
Provider Name: MR. RUSSELL WAYNE DOYLE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2540 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080
Phone: (530) 528-8899
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MR. Russell Wayne Doyle, PA is a medical physician assistant in Red Bluff, CA. MR. Russell Wayne Doyle, PA NPI is 1720096449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2540 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080-327
Phone: (530) 528-8899
Fax: (530) 528-8898

The enumeration date for this NPI number is 8/4/2006 and was last updated on 11/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11684	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0PA116841	MEDICARE PIN	CALIFORNIA
2	ZZZ27575Z	OTHER	CALIFORNIA	GROUP ID NUMBER
3	P32782	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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