Organization
COLEMAN O. CLOUGHERTY, D.P.M., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLEMAN OLIVER CLOUGHERTY D.P.M. (PHYSICIAN)
(614) 213-1337
Entity
Organization
Contact information
Practice address
29099 HEALTH CAMPUS DR, SUITE 180, WESTLAKE, OH 44145-5200
(440) 892-6628
Mailing address
29099 HEALTH CAMPUS DR, SUITE 180, WESTLAKE, OH 44145-5200
(440) 892-6628
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003722
OH
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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