Individual
WILLIAM E. DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 BROADWAY ST, SUITE 303, QUINCY, IL 62301-2719
(217) 224-6423
(217) 222-9807
Mailing address
927 BROADWAY ST, SUITE 303, QUINCY, IL 62301-2719
(217) 224-6423
(217) 222-9807
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-114502
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114502
—
IL
01
—
110073
HEALTH ALLIANCE
IL
Enumeration date
07/31/2006
Last updated
08/06/2009
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