IndividualActive
Christopher Dougherty, D.O.
NPI 1124012000 · Sports Medicine (Orthopaedic Surgery) Physician · Bentonville, AR
Provider details
- NPI number
- 1124012000
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- E476114 (AR)
Practice location
1504 Se 28th St
Bentonville, AR 72712-3988
Phone: (479) 273-1111
Fax: (479) 273-1255
Mailing address
1504 Se 28th St
Bentonville, AR 72712-3988
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2009-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.