Individual
DR. DENE WESLEY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2656 EDITH AVE, REDDING, CA 96001-3030
(530) 244-2882
(530) 244-3703
Mailing address
3400 DATA DR, ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24362
CA
208600000X
Surgery Physician
25MB09572100
NJ
208600000X
Surgery Physician
Primary
295046
NY
208600000X
Surgery Physician
80784
GA
208600000X
Surgery Physician
OS018443
PA
Other
Enumeration date
09/01/2009
Last updated
01/22/2026
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