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Individual

MS. BARBARA ANN DOHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
1004 PARKWAY AVE, SUITE B, ELKHART, IN 46516-9348
(574) 522-9922
(574) 522-9926
Mailing address
1004 PARKWAY AVE, SUITE B, ELKHART, IN 46516-9348
(574) 522-9922

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
107726
IL

Other

Enumeration date
12/09/2015
Last updated
01/19/2016
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