MAXWELL JAMES DOHERTY

KINGMAN, AZ
NPI1538851605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R80416)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: AZ  R80416)
Enumeration Date2023-05-25
Last Update Date2025-05-23
Business Address
Dr. MAXWELL JAMES DOHERTY
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-2101
Mailing Address
Dr. MAXWELL JAMES DOHERTY
3806 HEATHER AVE
KINGMAN, AZ 86401-3843
Phone number: 715-209-0132