person
Mr. Robert Lee Dougherty, PA-C
Medical Physician Assistant in Casey, Illinois
NPI 1891787529

Robert Lee Dougherty is a Medical Physician Assistant based in Casey, IL and is specialized in Medical. Robert Lee Dougherty practices in Casey, IL and has the professional credentials of PA-C. The NPI Number for Robert Lee Dougherty is 1891787529 and holds a License No. 085000498 (Illinois).

The current practice location address for Robert Lee Dougherty is 412 Nw 3Rd St, Casey, IL and can be reached out via phone at 217-932-4061 and via fax at 217-932-5191.

Location: 412 Nw 3Rd St, Casey, IL, 62420-3113
person
Provider Profile Details
NPI Number
1891787529
Provider Name
Robert Lee Dougherty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
412 Nw 3Rd St, Casey, IL, 62420-3113
Phone Number
217-932-4061
Fax Number
217-932-5191
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
412 Nw 3Rd St
City
State
Zip
62420-1014
Phone Number
217-932-4061
Fax Number
217-932-5191
person
Provider Business Mailing Address Details
Address
412 Nw 3Rd St
City
State
Zip
62420-1014
Phone Number
217-932-4061
Fax Number
217-932-5191
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085000498 (Illinois)
Definition
Definition to come...
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