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1841236593
MATTHEW DOUGHERTY
SAINT LOUIS, MO
NPI
1841236593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A88589)
Enumeration Date
2006-06-21
Last Update Date
2012-09-21
Business Address
-- MATTHEW DOUGHERTY MD
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128-4062
Phone number: 314-842-5239
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Mailing Address
-- MATTHEW DOUGHERTY MD
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-842-5239
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