Mr. Robert Lee Dougherty, PA-C
Mr. Robert Lee Dougherty, PA-C is a Medical Physician Assistant in Casey, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
412 NW 3rd StCasey, IL 62420-1014
Phone: (217) 932-4061
Fax: (217) 932-5191
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085000498 (IL) |
|---|
Record details
| NPI number | 1891787529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 18, 2005 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 4114 E Us 40, Casey, IL 62420-3113 |