Individual
RYNE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3020
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MED-PHYS-LIC-104836
MT
2085R0204X
Vascular & Interventional Radiology Physician
MED-PHYS-LIC-104836
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
03/17/2023
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