Organization
SHERIDAN PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD DOUGHTY M.D. (PRESIDENT)
(307) 672-1042
Entity
Organization
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 673-7164
(307) 674-6887
Mailing address
PO BOX 807, SHERIDAN, WY 82801-0807
(307) 673-7164
(307) 674-6887
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106378200
—
WY
Enumeration date
02/28/2007
Last updated
01/21/2010
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