Individual
DR. MARK CHRYSOSTOM DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
(319) 356-2237
Mailing address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
R-11336
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
06/13/2018
Last updated
06/12/2025
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