Andrew T Doherty, PA-C

NPI #1962716456 in Rockford, Illinois

Provider Information

NPI Number: 1962716456
Entity Type: Individual
Name: Andrew T Doherty, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 27, 2010
Last Updated: Apr 4, 2016

Practice Location

Address: 3475 S ALPINE RD
City: Rockford
State: Illinois
ZIP Code: 61109-2604
Phone: (815) 874-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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