Individual
DANIEL LYNN DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2727
(417) 659-6874
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2727
(417) 659-6874
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36054
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038740A
—
OK
05
—
100229330C
—
KS
05
—
1093739351
—
MO
01
—
P00817793
RAIL ROAD MEDICARE
MO
Enumeration date
07/27/2006
Last updated
03/17/2016
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