Individual
DR. MATHIAS WAYNE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 NEILSON ST, WATSONVILLE, CA 95076-2491
(831) 763-6049
(831) 768-6289
Mailing address
65 NEILSON ST, WATSONVILLE, CA 95076-2491
(831) 763-6049
(831) 768-6289
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A126857
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD60272416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294301
L&I
WA
05
—
1255599015
—
WA
Enumeration date
05/29/2008
Last updated
04/29/2015
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