Individual
PAUL T DAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 488-4669
Mailing address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 488-4669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
587
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001080A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815615
—
AZ
Enumeration date
07/11/2006
Last updated
03/30/2009
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