Provider Demographics
NPI:1942015052
Name:DOYLE, ANTHONY PHILIP
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:PHILIP
Last Name:DOYLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14291 E 4TH AVE # 140
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8731
Mailing Address - Country:US
Mailing Address - Phone:303-995-5912
Mailing Address - Fax:
Practice Address - Street 1:14291 E 4TH AVE # 140
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8731
Practice Address - Country:US
Practice Address - Phone:303-995-5812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0015072208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation