Individual
BRUCE L DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 5TH ST, SUITE H, CLARKSTON, WA 99403-2670
(509) 295-6163
(509) 295-6160
Mailing address
744 5TH ST, SUITE H, CLARKSTON, WA 99403-2670
(509) 295-6163
(509) 295-6160
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 60206123
WA
Other
Enumeration date
07/31/2012
Last updated
09/10/2013
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