Individual
EAMON MICHAEL DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2351 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4607
(575) 439-1397
(575) 437-2622
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 437-3351
(575) 437-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4126
NM
225100000X
Physical Therapist
Primary
P13249
NC
Other
Enumeration date
04/24/2012
Last updated
09/09/2013
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