Individual
MARK WILLIAM DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4050 LAKE OTIS PKWY STE 210, ANCHORAGE, AK 99508-5221
(907) 244-3694
Mailing address
2740 KEMPTON HILLS DR, ANCHORAGE, AK 99516-2776
(907) 244-3694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1508
AK
Other
Enumeration date
02/05/2015
Last updated
02/06/2015
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