John D Dougherty III
Geriatric Medicine
555 E. Vuelta Caminata Del Rio
Oro Valley
, Arizona 85737
John D Dougherty III
Geriatric Medicine
555 E. Vuelta Caminata Del Rio
Oro Valley
, Arizona 85737
(520) 547-4661
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- John D Dougherty III
- 555 E. Vuelta Caminata Del Rio
- Oro Valley, AZ
- Zip : 85737
- Fax : (520) 547-4661
- Phone : (520) 547-5688
Second Address
- John D Dougherty III
- 555 E. Vuelta Caminata Del Rio
- Oro Valley, AZ
- Zip : 85737
- Fax : (520) 547-4661
- Phone : (520) 547-5688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 41024 | AZ |
National Provider Identifier
| NPI | 1043252844 |
|---|---|
| Provider Name | John D Dougherty III |
| First Address | Oro Valley, AZ 85737 |
| Second Address | Oro Valley, AZ 85737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 04/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I57274 | (02) | AZ |
| Z139672 | PTAN (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.