Dr SEAN M DOUGHERTY is a male medical professional, specializing in Podiatry. He graduated in 2009.
TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC
4626 WILLOW RD
SUITE 200
PLEASANTON
CA
945888564
Tel: 9254630470
| Npi | 1407089261 |
| Pac Id | 5890951230 |
| Professional Enrollment Id | I20120730000365 |
| Last Name | DOUGHERTY |
| First Name | SEAN |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC |
| Group Practice Pac Id | 3577461151 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 4626 WILLOW RD |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | PLEASANTON |
| State | CA |
| Zip Code | 945888564 |
| Phone Number | 9254630470 |
| Hospital Affiliation Ccn 1 | 050283 |
| Hospital Affiliation Lbn 1 | STANFORD HEALTH CARE - VALLEYCARE |
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| Professional Accepts Medicare Assignment | Y |
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