Basic Information
| Provider Information | |||||||||
| NPI: | 1508884743 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOTY | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | HUNTER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1901 W LUGONIA AVE | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | REDLANDS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923749703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095571600 | ||||||||
| FaxNumber: | 9098900218 | ||||||||
| Practice Location | |||||||||
| Address1: | 2131 ELKS DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SAN BERNARDINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 924045544 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9097266100 | ||||||||
| FaxNumber: | 9095571745 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 04/03/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | G271730 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.