Individual
DR. NEIL E DOHERTY III
Active
Individual
DR. NEIL E DOHERTY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G51688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G516880
—
CA
01
—
G51688
MEDICAL BOARD OF CALIFORNIA
CA
01
—
WG51688A
MEDICARE PPIN
—
Enumeration date
03/17/2006
Last updated
11/15/2023
Update your record
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