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1003900473
BILL DAUGHERTY
ALBUQUERQUE, NM
NPI
1003900473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 79153)
Enumeration Date
2006-10-03
Last Update Date
2016-03-24
Business Address
BILL DAUGHERTY MD
5901 HARPER DR NE PMG URGENT CARE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8233
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Mailing Address
BILL DAUGHERTY MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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