Individual
DR. MATTHEW WILLIAM DAGGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2449 ROSS MILLVILLE RD, HAMILTON, OH 45013-8951
(513) 856-5971
Mailing address
4685 FOREST AVE C, CINCINNATI, OH 45212-3359
(513) 853-4731
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35088580
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35-088580
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000601226
ANTHEM
OH
05
—
2705362
—
OH
01
—
35088580
OH MEDICAL LICENSE
OH
01
—
497204
WELLCARE
OH
01
—
7118900
AETNA
OH
Enumeration date
09/27/2006
Last updated
07/29/2015
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