Individual
MICHAEL SEAN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5171 S COTTONWOOD ST STE 740, MURRAY, UT 84107-5705
(801) 507-9700
(801) 507-9705
Mailing address
5171 S COTTONWOOD ST STE 740, MURRAY, UT 84107-5705
(801) 507-9700
(801) 507-9705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
10/20/2021
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