Individual
DR. DANIEL T THREAT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4619 GREGORYS CHARTER CT, RICHMOND, VA 23236-1062
(804) 379-5488
(804) 379-5586
Mailing address
4619 GREGORYS CHARTER CT, RICHMOND, VA 23236-1062
(804) 379-5488
(804) 379-5586
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101054629
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005867100
—
VA
Enumeration date
11/21/2006
Last updated
07/09/2007
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