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1760426878
RICHARD E DAUGHERTY
JEFFERSON CITY, MO
NPI
1760426878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO MD115048)
Enumeration Date
2006-06-16
Last Update Date
2011-12-29
Business Address
Dr. RICHARD E DAUGHERTY M.D.
3400 W TRUMAN BLVD
JEFFERSON CITY, MO 65109-5712
Phone number: 573-632-2777
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Mailing Address
Dr. RICHARD E DAUGHERTY M.D.
PO BOX 104780
JEFFERSON CITY, MO 65110-4780
Phone number: 573-632-0243
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