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Individual

DR. MATTHEW WILLIAM DAGGY

Active
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Individual

DR. MATTHEW WILLIAM DAGGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35088580
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35-088580
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000601226
ANTHEM
OH
05
—
2705362
—
OH
01
—
35088580
OH MEDICAL LICENSE
OH
01
—
497204
WELLCARE
OH
01
—
7118900
AETNA
OH
Enumeration date
09/27/2006
Last updated
07/29/2015
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