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Individual
DR. ALAN BOYER MCDANIEL
Active
Individual
DR. ALAN BOYER MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01035992
IN
207K00000X
Allergy & Immunology Physician
Primary
MMD.34454TL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174151
ANTHEM
IN
05
—
100116300A
—
IN
Enumeration date
07/19/2006
Last updated
04/27/2012
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