Individual
DR. ALEXIS DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ARRELLAGA ST STE 101, SANTA BARBARA, CA 93103-2275
(805) 687-5538
(805) 687-5530
Mailing address
PO BOX 1206, GOLETA, CA 93116-1206
(805) 964-3838
(805) 683-3400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A126933
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A126933
CA
390200000X
Student in an Organized Health Care Education/Training Program
BP2-0036384
TX
Other
Enumeration date
07/08/2010
Last updated
02/04/2021
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