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Individual

DR. BRENDAN THOMAS DOHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
DEPARTMENT OF RADIOLOGY,WALTER REED ARMY MEDICAL CENTER, 6900 GEORGIA AVE, NW, WASHINGTON, DC 20307
(202) 782-1628
Mailing address
DEPARTMENT OF RADIOLOGY,WALTER REED ARMY MEDICAL CENTER, 6900 GEORGIA AVE, NW, WASHINGTON, DC 20307
(202) 782-1628

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21822
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21822
STATE LICENSE
NE
Enumeration date
05/09/2007
Last updated
07/08/2007
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