Individual
DANIEL SPENCER MADSEN
Active
Individual
DANIEL SPENCER MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37113
AZ
2085R0202X
Diagnostic Radiology Physician
5384574-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
12595A
WY
2085R0204X
Vascular & Interventional Radiology Physician
M14927
ID
2085R0204X
Vascular & Interventional Radiology Physician
MED-PHYS-LIC-80205
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104998137
—
ID
05
—
1104998137
—
MT
Enumeration date
11/14/2006
Last updated
03/13/2020
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