Individual
BRIAN DONOVAN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-6011
Mailing address
1267 CORONADO LN, IOWA CITY, IA 52245-5741
(303) 915-6494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO-06027
IA
Other
Enumeration date
03/20/2019
Last updated
03/11/2023
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