Individual
MICHAEL JAMES DOUGHERTY
Active
Individual
MICHAEL JAMES DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32324
SC
208000000X
Pediatrics Physician
M4041
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
32324
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323242
—
SC
Enumeration date
09/22/2006
Last updated
03/23/2018
Update your record
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