Individual
DAPHNE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 582-6450
(530) 582-6430
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 582-6450
(530) 582-6430
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
11254
NV
2085R0001X
Radiation Oncology Physician
Primary
G55391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10966232
CAQH
—
05
—
1205896024
—
NV
Enumeration date
03/24/2006
Last updated
12/14/2012
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