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1689075889
SCOTT M DOHERTY
MISSOULA, MT
NPI
1689075889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT MED-PAC-LIC-34654)
Enumeration Date
2014-09-08
Last Update Date
2023-09-18
Business Address
SCOTT M DOHERTY PA
2230 N RESERVE ST STE 402
MISSOULA, MT 59808-1364
Phone number: 406-721-0533
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Mailing Address
SCOTT M DOHERTY PA
2827 FORT MISSOULA RD
MISSOULA, MT 59804-7408
Phone number: 406-327-4585
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