Individual
DR. JERRY HAYES MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 GLENSPRINGS DR, SUITE 410, CINCINNATI, OH 45246-2316
(513) 851-6500
(513) 851-6502
Mailing address
375 GLENSPRINGS DR, SUITE 410, CINCINNATI, OH 45246-2316
(513) 851-6500
(513) 851-6502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35047141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489921
—
OH
05
—
3153242
—
OH
Enumeration date
08/24/2005
Last updated
03/03/2015
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