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Individual

MINNIE DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, 1060 GAFFNEY RD STE 7440, FT WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4847
Mailing address
COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, 1060 GAFFNEY RD STE 7440, FT WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4847

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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