| Doctor Name: | MR. DANIEL THOMAS DUBOSE |
| NPI Number: | 1164437471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD FACS |
| License Number: | G670890 |
| Business Practice Address: | 795 Morning Star Drive Sonora, CA - 95370 |
| Business Phone Number: | 2095332545 |
| Business Fax Number: | 2095330924 |
| Mailing Address: | 795 Morning Star Drive, SONORA |
| State: | CA |
| Postal Code: | 95370 |
| Phone Number: | 2095332545 |
| Fax Number: | 2095330924 |
| NPI Enumeration Date: | 07/29/2006 |
| NPI Last Update Date: | 04/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | G670890 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |