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Contact Information

LARRY C DAUGHERTY, MD
188 W NORTHERN LIGHTS BLVD STE 100
ANCHORAGE, AK99503-3902
 Phone: 907-276-2803
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for LARRY C DAUGHERTY · (Male)

NPI # 1407011208
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2008
Last updated 09/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 8330
  • FL License # ME112529
  • PA License # MT193247
  • FL Medicaid 006593600
Hospital affiliation(s)
  • ALASKA REGIONAL HOSPITAL - (Acute Care)
    2801 DEBARR ROAD
    ANCHORAGE, AK 99508
  • CENTRAL PENINSULA GENERAL HOSPITAL - (Acute Care)
    250 HOSPITAL PLACE
    SOLDOTNA, AK 99669
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
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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