Doctor Name: | DANNY R NAVE |
NPI Number: | 1083903025 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 500 Highway J Hayti, MO - 638511200 |
Business Phone Number: | 5733592600 |
Business Fax Number: | 5733591103 |
Mailing Address: | 500 Highway J, HAYTI |
State: | MO |
Postal Code: | 638511200 |
Phone Number: | 5733592600 |
Fax Number: | 5733591103 |
NPI Enumeration Date: | 03/30/2011 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |