Individual
DR. DENNIS EDWARDS DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906A GREENWOOD DR, POPLAR BLUFF, MO 63901-2430
(573) 778-5913
(573) 776-7750
Mailing address
1906A GREENWOOD DR, POPLAR BLUFF, MO 63901-2430
(573) 778-5913
(573) 776-7750
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
2003009194
MO
207RP1001X
Pulmonary Disease Physician
Primary
26336
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209073204
—
MO
Enumeration date
02/03/2006
Last updated
12/28/2017
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