# COLEMAN O. CLOUGHERTY, D.P.M., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265813323
- **Authorized official:** DR. COLEMAN OLIVER CLOUGHERTY D.P.M. (PHYSICIAN)
- **Authorized official phone:** (614) 213-1337

## Contact information

- **Practice address:** 29099 HEALTH CAMPUS DR, SUITE 180, WESTLAKE, OH 44145-5200
- **Practice address phone:** (440) 892-6628
- **Mailing address:** 29099 HEALTH CAMPUS DR, SUITE 180, WESTLAKE, OH 44145-5200
- **Mailing address phone:** (440) 892-6628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.003722 | OH | Yes |

## Other

- **Enumeration date:** 06/15/2015
- **Last updated:** 06/15/2015