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Individual
DANIAL K HALLAM
Active
Individual
DANIAL K HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00038896
WA
2085R0202X
Diagnostic Radiology Physician
MD00038896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231150
L&I
WA
05
—
1649359399
—
WA
01
—
270210
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
11/03/2006
Last updated
11/14/2011
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