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Organization

DANIEL B. CHANNELL, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL BROOK CHANNELL M.D. (PHYSICIAN/PRESIDENT)
(909) 981-4955
Entity
Organization

Contact information

Practice address
600 N MOUNTAIN AVE, SUITE C102, UPLAND, CA 91786-4359
(909) 981-4955
(909) 981-9463
Mailing address
600 N MOUNTAIN AVE, SUITE C102, UPLAND, CA 91786-4359
(909) 981-4955
(909) 981-9463

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G85321
CA

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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