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Search › Ohio › 213ES0103X

Jacob Dougherty, DPM

NPI 1326577859 · on the registry since 2017

Practice

Address
10701 East Blvd
Cleveland, OH 44106
Phone
(216) 791-3800
Fax
(216) 421-3038
Organisation at this address
Dva Cleveland
Cleveland Vamc
Cleveland Vamc
Cleveland Vamc
Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,254

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio