Most Relevant Information
Provider Data
| NPI Number: | 1003800244 |
| Provider Name: | CARL RAYMOND DOERHOFF M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | MDR9541 |
Most Important Dates
| Enumeration Date: | 09/02/2005 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
1705 CHRISTY DR
SUITE 215
JEFFERSON CITY
MO
651015195
Practice Location Phone/Fax
| Phone: | 5736595500 |
| Fax: | 5736595505 |
Provider Mailing Location
1705 CHRISTY DR
SUITE 215
JEFFERSON CITY
MO
651015195
Provider Mailing Phone/Fax
| Phone: | 5736595500 |
| Fax: | 5736595505 |
Suggested EMR
Surgeon EMR