Individual
JOHN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 WILLOW ST, VALPARAISO, IN 46383-4223
(219) 309-7254
Mailing address
56 WILLOW ST, VALPARAISO, IN 46383-4223
(219) 309-7254
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01091630A
IN
Other
Enumeration date
05/14/2014
Last updated
01/26/2026
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