Dr MARK W DOUGHTY is a male medical professional, specializing in Nurse Practitioner. He graduated in 2014.
HEART OF EAGLE RIVER MEDICAL CLINIC
11432 BUSINESS BLVD
SUITE 4
EAGLE RIVER
AK
995777740
Tel: 9076941300
| Npi | 1982095444 |
| Pac Id | 1456667591 |
| Professional Enrollment Id | I20150903001014 |
| Last Name | DOUGHTY |
| First Name | MARK |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | HEART OF EAGLE RIVER MEDICAL CLINIC |
| Group Practice Pac Id | 0345240214 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 11432 BUSINESS BLVD |
| Line 2 Street Address | SUITE 4 |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 995777740 |
| Phone Number | 9076941300 |
| Hospital Affiliation Ccn 1 | 020001 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ALASKA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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