Individual
JOHN CLARK DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 686-5446
(513) 686-6868
Mailing address
5450 WINDRIDGE CT, COLUMBIA TOWNSHIP, OH 45243-2967
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35.149045
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
09/29/2023
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