Individual
DR. HEATHER M DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1626 OCONNELL BLVD, FT CARSON, CO 80913-4060
(719) 524-7351
Mailing address
1626 OCONNELL BLVD, FT CARSON, CO 80913-4060
(719) 524-7351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116022753
VA
Other
Enumeration date
07/05/2010
Last updated
01/06/2025
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