Colleen Daugherty Valid NPI
Individual provider · Military Health Care Provider · Sheppard Afb, TX
- NPI
- 1659359412
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- License number
- OT3334 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-01-03
- Last updated
- 2007-07-08
Practice location
149 Hart St, 82 Medical Group/Credentials
Sheppard Afb, TX 76311-3477
(940) 676-6960