Individual
DR. BRET RANDALL DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
559 E ALISAL ST, SUITE 201, SALINAS, CA 93905-2516
(831) 769-8800
(831) 422-9312
Mailing address
559 E ALISAL ST, SUITE 201, SALINAS, CA 93905-2516
(831) 769-8800
(831) 422-9312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A75494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70832F
—
CA
Enumeration date
08/15/2006
Last updated
07/09/2007
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