CHARLES DOUGHERTY M.D. NPI 1134100100

NPI Information

Charles Dougherty, M.D. is a pediatrics in Saint Louis, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Charles Dougherty, M.D. NPI is 1134100100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13303 TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128-062
Phone: (314) 842-5239
Fax: (314) 842-3835

The enumeration date for this NPI number is 11/8/2005 and was last updated on 9/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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