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Individual

DR. CLINTON J GARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9879 MONTGOMERY ROAD, CINCINNATI, OH 45242
(513) 891-2111
(513) 891-2113
Mailing address
9879 MONTGOMERY ROAD, CINCINNATI, OH 45242
(513) 891-2111
(513) 891-2113

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-008673
IL
111N00000X
Chiropractor
Primary
4284
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5632232
BCBS
IL
01
K39401
MEDICARE ID #
IL
Enumeration date
02/27/2007
Last updated
12/14/2022
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