Individual
DR. CLINTON COOPER HIGHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-4919
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2553
(614) 884-0641
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34-011548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166714
—
OH
01
—
P01666323
RAILROAD MEDICARE
OH
Enumeration date
05/22/2012
Last updated
10/07/2016
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