Individual
DR. SEAN DAVID DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 PROFESSIONAL DR, ROSEVILLE, CA 95661-3700
(916) 631-3010
Mailing address
2120 PROFESSIONAL DR, ROSEVILLE, CA 95661-3700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A115843
CA
207N00000X
Dermatology Physician
BP20031444
TX
Other
Enumeration date
07/03/2008
Last updated
12/15/2021
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