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Dr. Sean Dougherty, Dpm, Inc.
Podiatric Clinic/Center in Fairfield, California
NPI 1518573310

Dr. Sean Dougherty, Dpm, Inc. is a Podiatric Clinic/Center based in Fairfield, CA and is specialized in Podiatric. Dr. Sean Dougherty, Dpm, Inc. practices in Fairfield, CA. The NPI Number for Dr. Sean Dougherty, Dpm, Inc. is 1518573310 and holds a License No. (California).

The current practice location address for Dr. Sean Dougherty, Dpm, Inc. is 1620 Pennsylvania Ave Ste A, Fairfield, CA and can be reached out via phone at 707-426-5644 and via fax at 707-426-3156.

Location: 1620 Pennsylvania Ave Ste A, Fairfield, CA, 94533-3509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518573310
Provider Name
Dr. Sean Dougherty, Dpm, Inc.
Credential
Provider Entity Type
Organization
Address
1620 Pennsylvania Ave Ste A, Fairfield, CA, 94533-3509
Phone Number
707-426-5644
Fax Number
707-426-3156
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1620 Pennsylvania Ave Ste A
City
Fairfield
State
California
Zip
94533-3509
Phone Number
707-426-5644
Fax Number
707-426-3156
person
Provider Business Mailing Address Details
Address
1620 Pennsylvania Ave Ste A
City
Fairfield
State
California
Zip
94533-3509
Phone Number
707-426-5644
Fax Number
707-426-3156
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
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Definition
Definition to come...
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