Individual provider · Type 1 NPI
Minnie Dougherty, PA
Medical Physician Assistant · Fort Wainwright, AK
NPI number
1407916190
Active
Practice location
Commander Usa Meddac Ak Mcuc Mmd Attn Credentials, 1060 Gaffney Rd Ste 7440
Fort Wainwright, AK 99703-7440
Fax (907) 353-4847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Fort Wainwright
About NPI 1407916190
Minnie Dougherty, PA's National Provider Identifier is 1407916190, issued on Dec 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wainwright, AK. The record was last updated on Jul 8, 2007.