DAUGHERTY FOOT & ANKLE CLINIC NPI 1760650725

NPI Information

DAUGHERTY FOOT & ANKLE CLINIC is a foot and ankle surgery podiatrist in Cape Girardeau, MO. DAUGHERTY FOOT & ANKLE CLINIC NPI is 1760650725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

37 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-956
Phone: (573) 335-7100
Fax: (573) 335-7106

The provider's authorized official is Robert M Daugherty .
The authorized official title is Owner and has the following contact phone number (573) 335-7100.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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