Individual
DR. DANIEL J KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N 100 W, STE 106, VERNAL, UT 84078
(435) 789-9060
(435) 789-7754
Mailing address
175 N 100 W, STE 106, VERNAL, UT 84078
(435) 789-9060
(435) 789-7754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6321491-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
6321491-1205
UT
Other
Enumeration date
11/29/2006
Last updated
05/26/2011
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