Organization
M J DOHERTY PLLC
Active
Other names
Doherty Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J DOHERTY MD (OWNER)
(360) 961-0843
Entity
Organization
Contact information
Practice address
1151 ELLIS ST # 202, BELLINGHAM, WA 98225-5203
(360) 746-2380
Mailing address
1151 ELLIS ST # 202, BELLINGHAM, WA 98225-5203
(360) 746-2380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00020973
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD00020973
WA
Other
Enumeration date
10/26/2015
Last updated
11/23/2016
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