Individual
PATRICK B DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LEE ST FL 1, CHARLOTTESVILLE, VA 22908-0001
(434) 982-0415
(434) 243-6999
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101247721
VA
390200000X
Student in an Organized Health Care Education/Training Program
TRN9972
FL
Other
Enumeration date
10/15/2007
Last updated
08/25/2011
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