Individual
DARYL W LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
239 EDGEWOOD DR, TRANSFER, PA 16154-1817
(724) 646-0400
(724) 646-0413
Mailing address
PO BOX 1088, HERMITAGE, PA 16148-0088
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS003985L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000856690 0009
—
PA
05
—
101208491 0001
—
PA
Enumeration date
11/22/2005
Last updated
01/25/2012
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