Individual
DR. DANIEL ROGER POULSEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST # 980615, RICHMOND, VA 23298-5051
(804) 828-3524
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101267382
VA
2085R0202X
Diagnostic Radiology Physician
0116032474
VA
2085R0202X
Diagnostic Radiology Physician
351443
LA
225100000X
Physical Therapist
022223
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2017
Last updated
04/24/2026
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