SCOTT M DOHERTY PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1689075889- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 2230 N RESERVE ST STE 402, MISSOULA, MT, 598081364
- Phone
- (406) 721-0533
- Fax
- (406) 728-4463
Specialties & Taxonomies
Physician Assistant
Primary License: MT #MED-PAC-LIC-34654
Physician Assistant
License: OR #PA230478