Jerrold Ray Daugherty, PA

NPI #1174818884 in Fort Hood, Texas

Provider Information

NPI Number
1174818884
Entity Type
Individual
Name
Jerrold Ray Daugherty, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 10, 2011
Last Updated
Jun 10, 2011

Practice Location

Address
36000 DARNALL LOOP
Address 2
CARL R. DARNALL ARMY MEDICAL CENTER
State
Texas
ZIP Code
76544-4752
Phone
(254) 288-8025

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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