Dougherty, William R
Dougherty, William R is an individual health care provider with primary practice located at 1331 Maestas Rd , Taos NM 87571-6268. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Dougherty, William R can be contacted via phone (575) 776-7806.Contact Information
Primary practice address
1331 Maestas Rd
Taos NM 87571-6268
Phone: (575) 776-7806
Fax: (575) 224-7806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD38986 | Tennessee |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD071147L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD2010-0793 | New Mexico |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD2010-0793 | New Mexico |
Profile Details
| NPI number | 1497842512 |
|---|---|
| LBN Legal business name | Dougherty, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Jan 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497842512 | NPPES |
| Maryland | Other | 932970 | CAREFIRST MD BCBS |
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