Individual
DR. CHARLES DANIEL CAMMOCK
Active
Individual
DR. CHARLES DANIEL CAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.058892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079379
—
OH
01
—
11392128
CAQH
OH
01
—
H165530
MEDICARE PTAN
OH
01
—
P01237649
MEDICARE RAILROAD
OH
Enumeration date
06/06/2006
Last updated
04/23/2021
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