Individual
DR. JAMES DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Mailing address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009520
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1841
—
VT
Enumeration date
08/30/2006
Last updated
07/08/2007
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