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Brady Dougherty

NPI 1134796477 · on the registry since 2021

Practice

Address
1360 Nw 18th St Ste 101
Ankeny, IA 50023
Phone
(515) 957-4042
Clinicians at this address
6

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa