Individual
DEVIN FRANCO DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11301 WILSHIRE BLVD., BLDG 500 (RM: 6242), LOS ANGELES, CA 90073
(310) 268-3295
(310) 268-4926
Mailing address
4613 N CHELSEA LN, BETHESDA, MD 20814-3711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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