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Individual
DANIEL L. GALL
Active
Individual
DANIEL L. GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6442
MT
207QS0010X
Sports Medicine (Family Medicine) Physician
6442
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109824
MDCD PIN
MT
Enumeration date
08/31/2006
Last updated
02/27/2008
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