person
Matthew David Doughman, PA-C
Medical Physician Assistant in Portsmouth, Ohio
NPI 1801190665

Matthew David Doughman is a Medical Physician Assistant based in Portsmouth, OH and is specialized in Medical. Matthew David Doughman practices in Portsmouth, OH and has the professional credentials of PA-C. The NPI Number for Matthew David Doughman is 1801190665 and holds a License No. 50.003770RX (Ohio).

The current practice location address for Matthew David Doughman is 1711 27Th St Ste 102, Portsmouth, OH and can be reached out via phone at 740-356-1709 and via fax at 740-353-3027.

Location: 1711 27Th St Ste 102, Portsmouth, OH, 45662-2681
person
Provider Profile Details
NPI Number
1801190665
Provider Name
Matthew David Doughman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1711 27Th St Ste 102, Portsmouth, OH, 45662-2681
Phone Number
740-356-1709
Fax Number
740-353-3027
Provider Enumeration Date
01/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TC091 01 KY KENTUCKY MEDICAL BOARD
7100219770 05 KY
PA1706 01 KY KENTUCKY MEDICAL BOARD
0086440 05 OH
1103317 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
1711 27Th St Ste 102
City
State
Zip
45662-2657
Phone Number
740-356-1709
Fax Number
740-353-3027
person
Provider Business Mailing Address Details
Address
1711 27Th St Ste 102
City
State
Zip
45662-2657
Phone Number
740-356-1709
Fax Number
740-353-3027
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50.003770RX (Ohio)
Definition
Definition to come...
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