Individual
DR. DANIEL ROBERT BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2615 LAKE DR, SUITE 201, RALEIGH, NC 27607-6693
(919) 781-9555
(919) 781-1070
Mailing address
2615 LAKE DR, SUITE 201, RALEIGH, NC 27607-6693
(919) 781-9555
(919) 781-1070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0069960
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329801 00
—
MD
Enumeration date
02/01/2006
Last updated
04/14/2020
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