Individual
DANIEL OYOLA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14691
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-14691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033948435
—
NC
Enumeration date
08/01/2024
Last updated
10/29/2024
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