Colleen Daugherty

NPI #1659359412 in Sheppard Afb, Texas

Provider Information

NPI Number
1659359412
Entity Type
Individual
Name
Colleen Daugherty
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Military Health Care Provider
Enumeration Date
Jan 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
149 HART ST
Address 2
82 MEDICAL GROUP/CREDENTIALS
State
Texas
ZIP Code
76311-3477
Phone
(940) 676-6960

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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