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Organization

DAUGHERTY FOOT & ANKLE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT M DAUGHERTY DPM (OWNER)
(573) 335-7100
Entity
Organization

Contact information

Practice address
37 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4956
(573) 335-7100
(573) 335-7106
Mailing address
PO BOX 2046, CAPE GIRARDEAU, MO 63702-2046
(573) 335-7100
(573) 335-7106

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2004013247
MO

Other

Enumeration date
02/13/2008
Last updated
02/13/2008
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