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Individual

DR. MARK K DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
46 FAIRVIEW AVE STE 111, SKOWHEGAN, ME 04976-1481
(207) 474-0905
(207) 474-6930
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-0905
(207) 474-6930

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18661
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730196015
ME
Enumeration date
08/01/2006
Last updated
06/30/2023
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