Individual
JOHN D DOUGHERTY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E. VUELTA CAMINATA DEL RIO, ORO VALLEY, AZ 85737
(520) 547-5688
(520) 547-4661
Mailing address
555 E. VUELTA CAMINATA DEL RIO, ORO VALLEY, AZ 85737
(520) 547-5688
(520) 547-4661
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
41024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z139672
PTAN
AZ
Enumeration date
06/13/2006
Last updated
06/04/2018
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