Individual
WILLIAM EDWARD DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801
(307) 672-1042
(307) 672-1146
Mailing address
PO BOX 807, SHERIDAN, WY 82801-0807
(307) 673-7164
(307) 674-6887
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2510A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103909100
—
WY
Enumeration date
10/25/2006
Last updated
01/21/2010
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