Individual provider · Type 1 NPI

Jacob Randall Dougherty, DPM

Foot & Ankle Surgery Podiatrist · Cleveland, OH

NPI number 1326577859 Active

Practice location

10701 East Blvd
Cleveland, OH 44106-1702

Call (216) 791-3800 Map

Fax (216) 421-3038

Mailing address

730 Goodlette Rd N, Ste 102
Naples, FL 34102-5617

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO4179 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1326577859

Jacob Randall Dougherty, DPM's National Provider Identifier is 1326577859, issued on Jun 8, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Cleveland, OH. The record was last updated on Jul 21, 2022.