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DANIEL JOSEPH DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 203-6967
Mailing address
3400 FLORIDA ST NE, ALBUQUERQUE, NM 87110-2120
(505) 203-6967

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
53959
NM

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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