Individual
PATRICK J. DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19828
NE
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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