WILLIAM R DOUGHERTY MD

TAOS PROFESSIONAL SERVICES,LLC

Dr WILLIAM R DOUGHERTY MD is a male medical professional, specializing in General Surgery. He graduated in 1985 from University Of Southern California School Of Medicine.

Contact

TAOS PROFESSIONAL SERVICES,LLC

1397 WEIMER RD
TAOS
NM
875716253

Tel: 5757518902

WILLIAM R DOUGHERTY MD Information

Npi 1497842512
Pac Id 3870559370
Professional Enrollment Id I20110217000343
Last Name DOUGHERTY
First Name WILLIAM
Middle Name R
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty GENERAL SURGERY
Secondary Specialty 1 CRITICAL CARE (INTENSIVISTS)
Secondary Specialty 2 PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties CRITICAL CARE (INTENSIVISTS), PLASTIC AND RECONSTRUCTIVE SURGERY
Organization Legal Name TAOS PROFESSIONAL SERVICES,LLC
Group Practice Pac Id 6507019924
Number Of Group Practice Members 13
Line 1 Street Address 1397 WEIMER RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TAOS
State NM
Zip Code 875716253
Phone Number 5757518902
Hospital Affiliation Ccn 1 321310
Hospital Affiliation Lbn 1 HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS
Hospital Affiliation Ccn 2 321309
Hospital Affiliation Lbn 2 MIMBRES MEMORIAL HOSPITAL
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 Y

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