Marilyn Dougherty Md., Pc.

LBN: Marilyn Dougherty Md., Pc.
Marilyn Dougherty Md., Pc. is an health care organization with primary practice located at 385 Broadway St , Boulder CO 80305-3344. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Marilyn Dougherty Md., Pc. can be contacted via phone (303) 449-3770, or through Dougherty, Marilyn via phone (303) 449-3770.

Contact Information

Primary practice address
385 Broadway St Boulder CO 80305-3344
Phone: (303) 449-3770
Fax: (303) 449-5383
Website:
Map and Directions
Authorized official contact:
Name: Dougherty, Marilyn Doctor of Medicine (MD)
Phone: (303) 449-3770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23203 Colorado

Profile Details

NPI number 1598044463
LBN Legal business name Marilyn Dougherty Md., Pc.
DBA Doing business as
Authorized official Dougherty, Marilyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2011
Last updated Sep 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598044463 NPPES
Colorado MEDICAID 01232032

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