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Organization
COLEMAN O. CLOUGHERTY, D.P.M., LLC
Active
Organization
COLEMAN O. CLOUGHERTY, D.P.M., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLEMAN OLIVER CLOUGHERTY D.P.M. (PHYSICIAN)
(614) 213-1337
Entity
Organization
Contact information
Practice address
29099 HEALTH CAMPUS DR, SUITE 180, WESTLAKE, OH 44145-5200
(440) 892-6628
Mailing address
29099 HEALTH CAMPUS DR, SUITE 180, WESTLAKE, OH 44145-5200
(440) 892-6628
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003722
OH
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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