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Individual

DR. JASON B DANIELS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031
(623) 848-5000
Mailing address
PO BOX 40850, MESA, AZ 85274
(480) 839-3313
(480) 839-4182

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30427
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3981220
EVERCARE GRP
AZ
05
707482
AZ
01
AW1436
HEALTHNET GRP
AZ
01
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
04/25/2006
Last updated
07/08/2007
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