Individual
DANIEL SALMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14116 CUSTOMS BLVD, GULFPORT, MS 39503-5164
(601) 957-6300
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-6917
(337) 988-8801
(337) 988-8805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.200830
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071064
—
LA
01
—
MD.200830
MEDICAL LICESE
LA
01
—
P00341271
PALMETTO GBA - RAILROAD M
LA
Enumeration date
06/04/2006
Last updated
10/25/2019
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