Simon Francis Dougherty in Fresno - Surgical
Simon Francis Dougherty - NPI 1780660761
Simon Francis Dougherty is a Surgical in Fresno, California. Simon Francis Dougherty practices all healthcare services and medical treatments related to Surgical. The NPI Number for Simon Francis Dougherty is 1780660761. The last update date is 2014-06-30.
Simon Francis Dougherty's current location address is 255 N Herwaldt Dr, Fresno, California. You can contact this provider via phone number 5594597300 and fax number 5594593750. The mailing address for Simon Francis Dougherty is 255 N Herwaldt Dr, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simon Francis Dougherty |
|---|---|
| Address | 255 N Herwaldt Dr, Fresno, California |
| Phone Number | 5594597300 |
| Fax Number | 5594593750 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780660761 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2014-06-30 |
Provider Mailing Address Detail
| Address | 255 N Herwaldt Dr |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937012186 |
| Phone Number | 5594597300 |
| Fax Number | 5594593750 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA17805 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Simon Francis Dougherty?
The Simon Francis Dougherty has been issued the NPI (National Provider Identifier) 1780660761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Simon Francis Dougherty is physically located?
The Simon Francis Dougherty is physically situated at the following address: 255 N Herwaldt Dr, Fresno, CA, 937012186.
What is Simon Francis Dougherty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Simon Francis Dougherty is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Simon Francis Dougherty receive its 1780660761 assignment from the Centers for Medicare & Medicaid Services?
The Simon Francis Dougherty was assigned its 1780660761 by the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the Simon Francis Dougherty's information last updated?
The Simon Francis Dougherty's information was last updated on 2014-06-30.