NPI 1750647913 · live from the CMS NPI Registry
Philip John Dougherty, MD
Radiology, Diagnostic Radiology in Coeur D Alene, ID. National Provider Identifier 1750647913, active.
NPI record
| NPI | 1750647913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 |
| Practice phone | 208-625-6300 |
| Enumerated | April 2, 2012 |
| Last updated | August 5, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-14068 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.