# DANIELSON SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760431878
- **Authorized official:** DR. KENNETH S DANIELSON M.D. (OWNER)
- **Authorized official phone:** (802) 748-2984

## Contact information

- **Practice address:** 1290 HOSPITAL DR, ST JOHNSBURY, VT 05819-9205
- **Practice address phone:** (802) 748-2984
- **Mailing address:** 1290 HOSPITAL DR, ST JOHNSBURY, VT 05819-9205
- **Mailing address phone:** (802) 748-2984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 04/06/2012