Individual
DR. SARSFIELD PATRICK DOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 S RUSSELL ST, MISSOULA, MT 59801-8536
(406) 721-4906
Mailing address
1280 STARWOOD DR, MISSOULA, MT 59808-9327
(406) 721-7826
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6835
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089453
—
MT
Enumeration date
06/18/2006
Last updated
07/08/2007
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