Michael R Dougherty, DO is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael R Dougherty, DO NPI is 1538443908. 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:
111 S 11TH ST STE 8290
PHILADELPHIA, PA
ZIP 19107-824
Phone: (215) 955-2370
Fax: (215) 955-0677
The enumeration date for this NPI number is 10/4/2011 and was last updated on 4/10/2021.