EDWARD D DOHERTY DC

Dr EDWARD D DOHERTY DC is a male medical professional, specializing in Chiropractic. He graduated in 1995 from Los Angeles College Of Chiropractic.

Contact

65 -1231 OPELO RD
SUITE 3
KAMUELA
HI
967438376

Tel:

EDWARD D DOHERTY DC Information

Npi 1073685244
Pac Id 0042109985
Professional Enrollment Id I20120524000278
Last Name DOHERTY
First Name EDWARD
Middle Name D
Suffix
Gender M
Credential DC
Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year 1995
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 65 -1231 OPELO RD
Line 2 Street Address SUITE 3
Marker Of Address Line 2 Suppression
City KAMUELA
State HI
Zip Code 967438376
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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