CHARLES DOUGHERTY

SAINT LOUIS, MO
NPI1134100100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  R6070)
Enumeration Date2005-11-08
Last Update Date2012-09-21
Business Address
CHARLES DOUGHERTY M.D.
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128-4062
Phone number: 314-842-5239
Mailing Address
CHARLES DOUGHERTY M.D.
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-842-5239
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