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Individual

DR. ROBERT MICHAEL DAUGHERTY

Active
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Individual

DR. ROBERT MICHAEL DAUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO4199
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005170
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2004013247
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
250
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005170
—
IL
01
—
197250
BLUE CROSS BLUE SHEILD
MO
01
—
2474055
UNITEDHEALTHCARE
MO
05
—
307288506
—
MO
05
—
307288514
—
MO
01
—
5621628
FIRST HEALTH
MO
01
—
706133
HEALTHLINK
MO
Enumeration date
03/01/2006
Last updated
11/15/2022
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