Individual
DR. LARRY CALVIN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
188 W NORTHERN LIGHTS BLVD STE 100, ANCHORAGE, AK 99503-3902
(907) 276-2803
Mailing address
188 W NORTHERN LIGHTS BLVD STE 800, ANCHORAGE, AK 99503-3984
(907) 276-2803
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
8330
AK
2085R0001X
Radiation Oncology Physician
ME112529
FL
2085R0001X
Radiation Oncology Physician
MT193247
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006593600
—
FL
Enumeration date
07/22/2008
Last updated
09/03/2014
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