Doctor Name: | DANIEL MASAR |
NPI Number: | 1962870311 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | NUR-RN-LIC-28603 |
Business Practice Address: | 2165 9th St W Columbia Falls, MT - 599124416 |
Business Phone Number: | 4068923208 |
Business Fax Number: | |
Mailing Address: | Po Box 1375, KALISPELL |
State: | MT |
Postal Code: | 599031375 |
Phone Number: | 4062339326 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NUR-RN-LIC-28603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |