Matthew Tristan Dougherty
NPI #1184517302 in Fort Bliss, Texas
Provider Information
- NPI Number
- 1184517302
- Entity Type
- Individual
- Name
- Matthew Tristan Dougherty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- May 29, 2025
- Last Updated
- May 29, 2025
Practice Location
- Address
- 11335 SSG SIMS ST
- City
- Fort Bliss
- State
- Texas
- ZIP Code
- 79918-8033
- Phone
- (850) 545-8528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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