Minnie Dougherty, PA
NPI #1407916190 in Ft Wainwright, Alaska
Provider Information
- NPI Number
- 1407916190
- Entity Type
- Individual
- Name
- Minnie Dougherty, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS
- Address 2
- 1060 GAFFNEY RD STE 7440
- City
- Ft Wainwright
- State
- Alaska
- ZIP Code
- 99703-7440
- Phone
- (907) 353-5418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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