| John Daniel M.d, Ps, Inc. | |
|
801 E Main Street Puyallup WA 98372-3365 | |
| (253) 845-4934 | |
| (253) 845-9289 |
| Full Name | John Daniel M.d, Ps, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 801 E Main Street, Puyallup, Washington |
| Authorized Official Name and Position | John N Daniel (PHYSICIAN) |
| Authorized Official Contact | 2538454934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Daniel M.d, Ps, Inc. 801 E Main Street Puyallup WA 98372-3365 Ph: (253) 845-4934 | John Daniel M.d, Ps, Inc. 801 E Main Street Puyallup WA 98372-3365 Ph: (253) 845-4934 |
| NPI Number | 1235310657 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 02/16/2016 |
| Medicare PECOS PAC ID | 9537055108 |
|---|---|
| Medicare Enrollment ID | O20040223000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235310657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00037757 (Washington) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | John N Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083788160 PECOS PAC ID: 0143116723 Enrollment ID: I20040503001668 |
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