Individual
DR. MED DAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 S 6TH AVE, TUCSON, AZ 85713-4701
(520) 475-5418
(520) 300-8034
Mailing address
309 57TH ST, VIENNA, WV 26105-2021
(207) 766-6404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30287
WV
207Q00000X
Family Medicine Physician
Primary
77620
AZ
207Q00000X
Family Medicine Physician
MD165962
OR
207Q00000X
Family Medicine Physician
ME178888
FL
Other
Enumeration date
07/05/2011
Last updated
05/04/2026
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