Individual
CASEY A DANIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207VG0400X
Gynecology Physician
Primary
25MB08876500
NJ
207VX0000X
Obstetrics Physician
25MB08876500
NJ
Other
Enumeration date
07/03/2008
Last updated
03/16/2022
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