NPI 1407916190

Minnie Dougherty, PA

Practitioner Medical Physician Assistant Ft Wainwright, AK

Practice location

Address: Commander USA Meddac Ak McUc Mmd Attn Credentials 1060 Gaffney Rd STE 7440, Ft Wainwright, AK 99703-7440
Phone: (907) 353-5418
Fax: (907) 353-4847

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Alaska →

Registry record

NPI: 1407916190
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.