Brian Dougherty, MB, BCH, BAO

NPI #1194091991 in Norfolk, Virginia

Provider Information

NPI Number: 1194091991
Entity Type: Individual
Name: Brian Dougherty, MB, BCH, BAO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MB, BCH, BAO
Enumeration Date: Mar 26, 2012
Last Updated: Nov 21, 2024

Practice Location

Address: 1562 MITSCHER AVE STE 250
City: Norfolk
State: Virginia
ZIP Code: 23551-2423
Phone: (757) 443-3872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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