Most Relevant Information
Provider Data
| NPI Number: | 1003248279 |
| Provider Name: | FELICIA MARIE DOHERTY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 3748 |
Most Important Dates
| Enumeration Date: | 07/30/2013 |
| Last Updated: | 03/18/2016 |
Provider Practice Location
2930 11TH AVE
EVANS
CO
806201011
Practice Location Phone/Fax
| Phone: | 9703539403 |
| Fax: | 9703504692 |
Provider Mailing Location
2930 11TH AVE
EVANS
CO
806201011
Provider Mailing Phone/Fax
| Phone: | 9703539403 |
| Fax: | 9703504692 |