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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHRISTOPHER P DOUGHERTY, D.O.

Deactivated

DR. CHRISTOPHER P DOUGHERTY, D.O. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in BENTONVILLE, Arkansas. NPI 1124012000 is deactivated in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · BENTONVILLE, AR

This NPI has been deactivated. The record was deactivated on March 24, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1124012000
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2005 (0.54246575342466 yrs)
Last Updated
Oct 8, 2009
Deactivated
Mar 24, 2006
Licenses
E476114 (AR)
2003014160 (MO)

Practice Information

Address
1504 SE 28TH ST
BENTONVILLE, AR, 727123988
Browse AR providers · Browse ZIP 72712
Phone
4792731111
Fax
4792731255
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X

Other Adult Reconstructive Orthopaedic Surgery Providers in BENTONVILLE, AR

Name Credential NPI
DR. ROBERT ANGUS MACLEOD M.D. 1821319856
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.