Individual provider · Type 1 NPI
Mary Jo Dougherty, PA - C
Medical Physician Assistant · Chesapeake, VA
NPI number
1578602017
Active
Practice location
700 Oak Grove Rd
Chesapeake, VA 23320-3728
Fax (757) 904-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | C5-0000574 (DE) |
| Medical Physician Assistant Primary | 363AM0700X | 0110003585 (VA) |
| Medical Physician Assistant | 363AM0700X | MA052848 (PA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Chesapeake
- Ashley Lowe, PA-CMedical Physician Assistant Chesapeake, VA NPI 1013358886
- Sarah Mae Groft, PA-CMedical Physician Assistant Chesapeake, VA NPI 1013522036
- Diane H. Sturgill, PA-CMedical Physician Assistant Chesapeake, VA NPI 1073822334
- Jenny L. Roberts, PAMedical Physician Assistant Chesapeake, VA NPI 1083929988
- Jack T. Witzenfeld, P.A.Medical Physician Assistant Chesapeake, VA NPI 1093819377
- Timothy Michael Reiss, PAMedical Physician Assistant Chesapeake, VA NPI 1124204862
- Thomas Davis Rose Sr., PA-CMedical Physician Assistant Chesapeake, VA NPI 1154670362
- Rachel Anglin, PA-CMedical Physician Assistant Chesapeake, VA NPI 1215420930
About NPI 1578602017
Mary Jo Dougherty, PA - C's National Provider Identifier is 1578602017, issued on Feb 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chesapeake, VA. The record was last updated on Aug 10, 2024.