Individual
COLIN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-3071
Mailing address
47 BONNEY ST, STEILACOOM, WA 98388-1501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101058226
VA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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