Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT LEE DOUGHERTY, PA-C
ActiveMR. ROBERT LEE DOUGHERTY, PA-C is a Medical Physician Assistant healthcare provider located in CASEY, Illinois. NPI 1891787529 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CASEY, IL
Registration Details
- NPI Number
- 1891787529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.990918464106 yrs)
- Last Updated
- Jul 9, 2007
- License
-
085000498 (IL)
Practice Information
- Address
-
412 NW 3RD STCASEY, IL, 624201014Browse IL providers · Browse ZIP 62420
- Phone
- 2179324061
- Fax
- 2179325191
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.