Gerald Richard Dooher, MD
Individual provider Active NPI Diagnostic Radiology Physician · Edwards, CO
NPI 1073758595 · NPPES record last updated Dec 12, 2008
Key facts
- NPI
- 1073758595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 17200 (CO)
- Practice address
- 1491 Winslow Rd
Edwards, CO 81632 - Phone
- (970) 926-1897
- NPI assigned
- Dec 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 17200 | CO | Yes |
Addresses
Primary practice location
1491 Winslow Rd
Edwards, CO 81632
Mailing address
PO Box 2408
1491 Winslow Rd
Edwards, CO 81632-2408
Phone (970) 926-1897
Other providers in Edwards, CO
- Dennis Lipton, MD, PLLC
- Michelle H Deutsch
- Bryan Diekmann
- Carly Dierolf
- Leslie E DO Pico
- Dr. Thomas J. Palic DC PC
- Meghan Elizabeth Drager
- Taylor Dreher Lee
- Joseph Drew
- Stephanie Drew
All providers in Edwards, CO · Diagnostic Radiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.