Individual
DOUGLAS E MCCAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9000 N MAIN ST, STE 227, DAYTON, OH 45415-1180
(937) 832-4773
(937) 832-2986
Mailing address
3170 KETTERING BLVD, BUILDING B 3RD FLOOR, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.00618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067821
—
OH
Enumeration date
09/28/2011
Last updated
01/18/2022
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