John Albert Daugherty APN

NPI 1083991913 - Clinic/Center - 261Q00000X

NPI Details
NPI 1083991913
Gender Male
Enumeration Date 11/06/2011
Last Updated 06/17/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
28374 COUNTY ROAD 317
BUENA VISTA CO, 81211-9158, US
Phone (719) 530-2048
Fax (719) 530-2055
Business Location
550 W HWY 50
SALIDA CO, 81201-2238, US
Phone (719) 530-2048
Taxonomy Code 261Q00000X
License State Colorado
License Number APN.0991366-NP
Remove 1083991913 NPI Number

According to our database, Mr. John Albert Daugherty APN NPI is 1083991913, taxonomy code is 261Q00000X and license number is APN.0991366-NP, license state is located at Colorado. John Albert Daugherty APN physically located at 28374 County Road 317, Buena Vista CO, 81211-9158. NPI Number John Albert Daugherty APN has the Individual type.

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1083991913 NPI number is provided on an as is basis without warranty of any kind. 1083991913 is maintained by the National Plan & Provider Enumeration System. The contents of John Albert Daugherty APN are for informational purposes only.