Individual
ERIN C DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 741-1224
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 741-1224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99-189
NM
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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