Individual
MR. EUGENE G. DANNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423442
—
AZ
01
—
AZ0194790
BCBS
AZ
Enumeration date
10/12/2006
Last updated
06/27/2011
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