| Dr. Jerry H. Mcdaniel, Md, Inc | |
|
375 Glensprings Dr Suite 410 Cincinnati OH 45246-2316 | |
| (513) 851-6500 | |
| (513) 851-0265 |
| Full Name | Dr. Jerry H. Mcdaniel, Md, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 375 Glensprings Dr, Cincinnati, Ohio |
| Authorized Official Name and Position | Denise Grimes (OFFICE MANAGER) |
| Authorized Official Contact | 5138516500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jerry H. Mcdaniel, Md, Inc 375 Glensprings Dr Suite 410 Cincinnati OH 45246-2316 Ph: (513) 851-6500 | Dr. Jerry H. Mcdaniel, Md, Inc 375 Glensprings Dr Suite 410 Cincinnati OH 45246-2316 Ph: (513) 851-6500 |
| NPI Number | 1891089983 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 06/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891089983 | NPI | - | NPPES |
| 0489921 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35047141 (Ohio) | Primary |
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