Individual
DR. RENEE D DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF SURGERY, FALLS CHURCH, VA 22042-3307
(703) 706-2237
(703) 776-2338
Mailing address
3140 HARLEQUIN LN, SAINT LOUIS, MO 63139-1776
(205) 349-9878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
74769
WI
207L00000X
Anesthesiology Physician
R7983
TX
207LP3000X
Pediatric Anesthesiology Physician
2019041276
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
R7983
TX
208D00000X
General Practice Physician
0101257424
VA
Other
Enumeration date
05/14/2012
Last updated
01/31/2025
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