Doctor Name: | DONALD J DANIEL |
NPI Number: | 1295881944 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C23770 |
Business Practice Address: | 7248 South Land Pk Dr #206 Sacramento, CA - 95831 |
Business Phone Number: | 9163999000 |
Business Fax Number: | 9164226029 |
Mailing Address: | 4004 Cresta Way, SACRAMENTO |
State: | CA |
Postal Code: | 95825 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C23770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |