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1841400199
SEAN C DOHERTY
SAINT LOUIS, MO
NPI
1841400199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2011006591)
Enumeration Date
2007-05-23
Last Update Date
2011-08-18
Business Address
Dr. SEAN C DOHERTY MD
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
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Mailing Address
Dr. SEAN C DOHERTY MD
660 S EUCLID AVE C B 8131
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-7200
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