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Individual

DR. DANIEL FRANK PAULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
, M.D., PH.D.

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266352
VA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
0101266352
VA
207RC0000X
Cardiovascular Disease Physician
2013006631
MO
207RC0000X
Cardiovascular Disease Physician
ME74804
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003823329
MO
05
254079700
FL
Enumeration date
08/01/2006
Last updated
08/11/2022
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