Individual
ASHLEY DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2328 S 102ND EAST AVE, TULSA, OK 74129-4637
(918) 855-3556
Mailing address
2328 S 102ND EAST AVE, TULSA, OK 74129-4637
(918) 855-3556
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
11/08/2021
Last updated
11/08/2021
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