Individual
DEVANY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
7541 S MINGO RD, TULSA, OK 74133-3227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2978
OK
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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