Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM R DOUGHERTY, MD
ActiveWILLIAM R DOUGHERTY, MD is a Plastic Surgery healthcare provider located in TAOS, New Mexico. NPI 1497842512 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · TAOS, NM
Registration Details
- NPI Number
- 1497842512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2006 (19.822416652906 yrs)
- Last Updated
- Jan 23, 2023
- Licenses
-
MD38986 (TN)MD071147L (PA)MD2010-0793 (NM)MD2010-0793 (NM)
Practice Information
- Address
-
1331 MAESTAS RDTAOS, NM, 875716268Browse NM providers · Browse ZIP 87571
- Phone
- 5757767806
- Fax
- 5752247806
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Trauma Surgery
- Additional Specialty
- Trauma Surgery
- Additional Specialty
- Plastic Surgery
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.