Individual
JOHN P CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE., ML 2021, CINCINNATI CHILDREN'S HOSPITAL, CINCINNATI, OH 45229-3039
(513) 636-6771
(513) 636-4615
Mailing address
3333 BURNET AVE., ML 2021, CINCINNATI CHILDREN'S HOSPITAL, CINCINNATI, OH 45229-3039
(513) 636-6771
(513) 636-4615
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
35.096868
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009969010
—
AL
01
—
051503748
BCBS OF AL
AL
05
—
051503748
—
AL
01
—
051503749
BCBS OF AL
AL
01
—
09523863
MS MEDICAID
AL
01
—
290014033
RR MEDICARE
AL
Enumeration date
08/14/2006
Last updated
04/21/2011
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