Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEAN MICHAEL DOUGHERTY, D.P.M.
ActiveDR. SEAN MICHAEL DOUGHERTY, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in FAIRFIELD, California. NPI 1407089261 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · FAIRFIELD, CA
Registration Details
- NPI Number
- 1407089261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2009 (17.010361817475 yrs)
- Last Updated
- Sep 2, 2020
- Licenses
-
E5009 (CA)E5009 (CA)E5009 (CA)E5009 (CA)
Practice Information
- Address
-
1620 PENNSYLVANIA AVE STE AFAIRFIELD, CA, 945333509Browse CA providers · Browse ZIP 94533
- Phone
- 7074265644
- Fax
- 7074263156
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Sports Medicine Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN MICHAEL MILLER | DPM | 1982851549 |
| CAMILLA WILLSON | — | 1992123384 |
| DANIELLE LEE | DPM | 1043954167 |
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.