Provider Demographics
NPI:1053368027
Name:DOUTHIT, JOHN D SR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:DOUTHIT
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:850 E HARVARD AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-722-0221
Mailing Address - Fax:303-722-0148
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-722-0221
Practice Address - Fax:303-722-0148
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO21693207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D23975Medicare UPIN