Individual
DANIEL RICARDO COURIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 CIRCLE OF HOPE DR, OFFICE 2151, SALT LAKE CITY, UT 84112-5550
(801) 213-2082
Mailing address
2000 CIRCLE OF HOPE DR, OFFICE 2151, SALT LAKE CITY, UT 84112-5550
(801) 213-2082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095945
MI
207RH0000X
Hematology (Internal Medicine) Physician
4301095945
MI
207RH0003X
Hematology & Oncology Physician
42445
TN
207RH0003X
Hematology & Oncology Physician
4301095945
MI
207RH0003X
Hematology & Oncology Physician
Primary
9455685-1205
UT
207RX0202X
Medical Oncology Physician
4301095945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000532
—
TN
01
—
4156129
BCBS TN
TN
Enumeration date
10/03/2006
Last updated
11/12/2021
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