FOREST DALE DAUGHERTY

COLUMBUS, IN
NPI1699073619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  010118019)
Enumeration Date2011-03-01
Last Update Date2011-03-01
Business Address
Dr. FOREST DALE DAUGHERTY MD
4041 SHOSHONEE DR
COLUMBUS, IN 47203-2531
Phone number: 812-372-5688
Mailing Address
Dr. FOREST DALE DAUGHERTY MD
4041 SHOSHONEE DR
COLUMBUS, IN 47203-2531
Phone number: 812-372-5688
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