Individual
DANIEL KENNETH CLEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 TRANSPORTATION BLVD, GARFIELD HEIGHTS, OH 44125-5371
(877) 440-8326
Mailing address
18803 WINDWARD WAY, STRONGSVILLE, OH 44136-7122
(330) 671-1367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008631RX
OH
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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