Provider Demographics
NPI:1023271574
Name:DOTY, EVE JEANINE (CPO)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:JEANINE
Last Name:DOTY
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 POCO CERRO CT SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-4193
Mailing Address - Country:US
Mailing Address - Phone:505-323-8187
Mailing Address - Fax:
Practice Address - Street 1:1828 E CESAR E CHAVEZ AVE
Practice Address - Street 2:SUITE A-12
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2400
Practice Address - Country:US
Practice Address - Phone:323-264-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2008-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist