Individual
DR. MICHAEL J DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
460 MURPHY ROAD, MEDFORD, OR 97504
(541) 776-0050
(541) 776-0062
Mailing address
460 MURPHY ROAD, MEDFORD, OR 97504
(541) 776-0050
(541) 776-0062
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-3364
ID
Other
Enumeration date
10/28/2005
Last updated
06/06/2019
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