Individual
MR. DANIEL AUSTIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
345 W STEAMBOAT DR, DAKOTA DUNES, SD 57049-5333
(605) 217-5617
Mailing address
345 W STEAMBOAT DR STE 601, DAKOTA DUNES, SD 57049-5287
(605) 217-5617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
076565
IA
363A00000X
Physician Assistant
Primary
1292
SD
Other
Enumeration date
01/15/2015
Last updated
09/23/2025
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