Individual
DR. DREE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110
(805) 681-7800
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301057543
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G157533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104266861
—
MI
01
—
DD057543
BC/BS
MI
01
—
G157533
MEDICAL LICENSE
CA
Enumeration date
06/04/2006
Last updated
06/27/2019
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