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Contact Information

SEAN C DOHERTY, MD
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO63110-1016
 Phone: 314-362-7200
 Fax: 314-747-4189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SEAN C DOHERTY · (Male)

NPI Number 1841400199
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 08/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011006591
Hospital affiliation(s)
  • ANDERSON HOSPITAL - (Acute Care)
    6800 STATE ROUTE 162
    MARYVILLE, IL 62062
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    400 CALDWELL
    STAUNTON, IL 62088
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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