person
Christopher R Dougherty, AA
Anesthesiologist Assistant in Springfield, Missouri
NPI 1720336548

Christopher R Dougherty is an Anesthesiologist Assistant based in Springfield, MO. Christopher R Dougherty practices in Springfield, MO and has the professional credentials of AA. The NPI Number for Christopher R Dougherty is 1720336548 and holds a License No. 2012029911 (Missouri).

The current practice location address for Christopher R Dougherty is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-2829 and via fax at 417-820-8852. You can also correspond with Christopher R Dougherty through the mailing address at PO BOX 2580, SPRINGFIELD, MO - 65801-2580 (mailing address contact number: 417-829-4620).

Location: 1235 E Cherokee St, Springfield, MO, 65801-2580
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Provider Profile Details
NPI Number
1720336548
Provider Name
Christopher R Dougherty
Credential
AA
Provider Entity Type
Individual
Gender
Male
Address
1235 E Cherokee St, Springfield, MO, 65801-2580
Phone Number
417-820-2829
Fax Number
417-820-8852
Provider Enumeration Date
08/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720336548 05 MO
431560263 01 MO TRICARE
P01129104 01 MO RR MCR
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
State
Zip
65804-2203
Phone Number
417-820-2829
Fax Number
417-820-8852
person
Provider Business Mailing Address Details
Address
Po Box 2580
City
State
Zip
65801-2580
Phone Number
417-829-4620
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
License No.
2012029911 (Missouri)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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