Robert L. Dougherty, PA-C
Physician Assistant · Casey, IL
UnclaimedPA-CNPI 1891787529
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2005-08-18
- Practice location
- Casey, IL
- Last NPPES update
- 2007-07-09
State licenses
- IL · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.