Organization
DR. JERRY H. MCDANIEL, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GRIMES (OFFICE MANAGER)
(513) 851-6500
Entity
Organization
Contact information
Practice address
375 GLENSPRINGS DR, SUITE 410, CINCINNATI, OH 45246-2316
(513) 851-6500
(513) 851-0265
Mailing address
375 GLENSPRINGS DR, SUITE 410, CINCINNATI, OH 45246-2316
(513) 851-6500
(513) 851-0265
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35047141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489921
—
OH
Enumeration date
06/06/2011
Last updated
06/06/2011
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