Individual
DR. DAVID JOHN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8262 ATLEE RD, MOB III, SUITE 205, MECHANICSVILLE, VA 23116-1816
(804) 559-0194
(804) 559-0198
Mailing address
8262 ATLEE RD, MOB III, SUITE 205, MECHANICSVILLE, VA 23116-1816
(804) 559-0194
(804) 559-0198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101244139
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760494892
—
VA
Enumeration date
08/13/2006
Last updated
08/02/2009
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