ANDREW T DOHERTY

ROCKFORD, IL
NPI1962716456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.003763)
Enumeration Date2010-07-27
Last Update Date2016-04-04
Business Address
-- ANDREW T DOHERTY PA-C
3475 S ALPINE RD
ROCKFORD, IL 61109-2604
Phone number: 815-874-8000
Mailing Address
-- ANDREW T DOHERTY PA-C
713 SUNGLOW CT
DEKALB, IL 60115-8585
Phone number:
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