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Simon Dougherty, PA-C
NPI 1780660761 · on the registry since 2005
Practice
- Address
- 255 N Herwaldt Dr
Fresno, CA 93701 - Phone
- (559) 459-7300
- Fax
- (559) 459-3750
- Organisation at this address
- Family Healthcare Network
United Health Centers Of The San Joaquin ValleyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Physician Assistant
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-30
- Status
- Not present in the most recent federal file
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 California