Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID ALAN DAUGHERTY, PA-C
ActiveDAVID ALAN DAUGHERTY, PA-C is a Surgical Physician Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1689648214 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1689648214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.507767920996 yrs)
- Last Updated
- Nov 7, 2016
- Licenses
-
50-002861 (OH)10001118A (IN)
Practice Information
- Address
-
7601 W JEFFERSON BLVDFORT WAYNE, IN, 468044133Browse IN providers · Browse ZIP 46804
- Phone
- 2604368686
- Fax
- 2604368585
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DUANE M WAMPLER | PA-C | 1154312122 |
| NICOLE GRACE CURL | PA-C | 1578648259 |
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.