Provider Demographics
NPI:1154433290
Name:DOTY, ROBERT EHREN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EHREN
Last Name:DOTY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4457
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85327-4457
Mailing Address - Country:US
Mailing Address - Phone:480-282-8485
Mailing Address - Fax:480-323-2777
Practice Address - Street 1:7328 E DEER VALLEY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7454
Practice Address - Country:US
Practice Address - Phone:480-282-8485
Practice Address - Fax:480-323-2777
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7669111N00000X
AZ4349208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation