Basic Information
| Provider Information | |||||||||
| NPI: | 1730114158 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOYLE | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | CARPENTER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 BARRACK ST | ||||||||
| Address2: | |||||||||
| City: | HOBART | ||||||||
| State: | TASMANIA | ||||||||
| PostalCode: | 7000 | ||||||||
| CountryCode: | AU | ||||||||
| TelephoneNumber: | 62310153 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3200 PROVIDENCE DR | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995084615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9072613111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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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 | 207P00000X | 39000 | AK | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.