Thomas M Dougherty in Saint Louis - Sports Medicine
Thomas M Dougherty - NPI 1952403651
Thomas M Dougherty is a Sports Medicine in Saint Louis, Missouri. Thomas M Dougherty practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Thomas M Dougherty is 1952403651. The last update date is 2014-09-04.
Thomas M Dougherty's current location address is 1019 Skinker Pkwy, Saint Louis, Missouri. You can contact this provider via phone number 6787937963. The mailing address for Thomas M Dougherty is 1019 Skinker Pkwy, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas M Dougherty |
|---|---|
| Address | 1019 Skinker Pkwy, Saint Louis, Missouri |
| Phone Number | 6787937963 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952403651 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2014-09-04 |
Provider Mailing Address Detail
| Address | 1019 Skinker Pkwy |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631122355 |
| Phone Number | 6787937963 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 29906 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the unique identifier code issued to Thomas M Dougherty by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas M Dougherty has been assigned the NPI (National Provider Identifier) 1952403651. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Thomas M Dougherty's physical address?
The Thomas M Dougherty is physically located at 1019 Skinker Pkwy, in the city of Saint Louis, MO, with the postal code 631122355.
What is Thomas M Dougherty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thomas M Dougherty is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date did the Thomas M Dougherty receive the assignment of its 1952403651 from the Centers for Medicare & Medicaid Services?
The Thomas M Dougherty was issued its 1952403651 by the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date was the information regarding Thomas M Dougherty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas M Dougherty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-04.