Doctor Name: | DANIEL L PIKA |
NPI Number: | 1710902325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA.C |
License Number: | 1028016 |
Business Practice Address: | 2970 Dede Rd Suite 4 Finksburg, MD - 210482340 |
Business Phone Number: | 4108618960 |
Business Fax Number: | 4108618963 |
Mailing Address: | 2970 Dede Rd, Suite 4 FINKSBURG |
State: | MD |
Postal Code: | 210482340 |
Phone Number: | 4108618960 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1028016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |