Individual
SIMON FRANCIS DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
255 N HERWALDT DR, FRESNO, CA 93701-2186
(559) 459-7300
(559) 459-3750
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17805
CA
363AS0400X
Surgical Physician Assistant
Primary
PA17805
CA
Other
Enumeration date
12/21/2005
Last updated
06/30/2014
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