Individual
HERMAN REXFORD MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18400 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2306
(760) 242-3939
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A6908
CA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
20A6908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX69080
—
CA
01
—
P00192636
RAILROAD MEDICARE
CA
Enumeration date
08/31/2006
Last updated
03/12/2024
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