Individual
DR. DUDLEY DEMAREE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34020 US HIGHWAY 285, C/O RANCHO DE SAN JUAN, OJO CALINETE, NM 87549
(505) 747-8711
Mailing address
PO BOX 1155, SAN JUAN PUEBLO, NM 87566-1155
(505) 747-8711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2005-0573
NM
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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