Daniel B. Channell, M.d., Inc. | |
600 N Mountain Ave Suite C102 Upland CA 91786-4359 | |
(909) 981-4955 | |
(909) 981-9463 |
Full Name | Daniel B. Channell, M.d., Inc. |
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Speciality | Clinic/center |
Location | 600 N Mountain Ave, Upland, California |
Authorized Official Name and Position | Daniel Brook Channell (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 9099814955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Daniel B. Channell, M.d., Inc. 600 N Mountain Ave Suite C102 Upland CA 91786-4359 Ph: (909) 981-4955 | Daniel B. Channell, M.d., Inc. 600 N Mountain Ave Suite C102 Upland CA 91786-4359 Ph: (909) 981-4955 |
NPI Number | 1225343320 |
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Provider Enumeration Date | 08/12/2010 |
Last Update Date | 08/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225343320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | G85321 (California) | Primary |
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