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Individual

MR. JAMES F DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4743 ARAPAHOE AVE, SUITE 100, BOULDER, CO 80303-1113
(303) 443-2123
(303) 443-9497
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 443-2123
(303) 443-9497

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001726
CO
363AS0400X
Surgical Physician Assistant
PA.0001726
CO

Other

Enumeration date
04/13/2006
Last updated
11/09/2017
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