| Daniel Gerardo Izquierdo, PA | |
|
Martin Army Community Hospital, Fort Benning, GA 31905 | |
| (706) 544-2258 | |
| Not Available |
| Full Name | Daniel Gerardo Izquierdo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | Martin Army Community Hospital, Fort Benning, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942416292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA11409 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Gerardo Izquierdo, PA 2419 W Southlake Blvd, Ste 100, Southlake, TX 76092-1506 Ph: (706) 610-5717 | Daniel Gerardo Izquierdo, PA Martin Army Community Hospital, Fort Benning, GA 31905 Ph: (706) 544-2258 |
Mr. Stephen Wayne Ward, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Wintder Tmc Martin Army Community Hospital, Fort Benning, GA 31905 Phone: 706-544-8305 | |
Mr. Reginald J Pierce, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Tmc # 7 Martin Army Community Hospital, Fort Benning, GA 31905 Phone: 706-544-9426 | |
Mr. James Stratford Williams, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Sledgehammer Tmc, Bldg 9052, Watkins Rd, Fort Benning, GA 31905 Phone: 706-544-2374 | |
Mr. Mark Alan Hartley, MPAS PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Martin Army Community Hospital, Fort Benning, GA 31905 Phone: 706-545-8543 | |
William Greenwood, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1442 | |
Mr. Robert A Rodriguez Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2237 | |
Samuel O'garro, PA STUDENT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2605 |