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Individual

DR. DANIEL EUGENE GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
145 W 23RD ST STE 302A, ERIE, PA 16502-2858
(814) 835-3751
(814) 835-3755
Mailing address
145 W 23RD ST STE 302A, ERIE, PA 16502-2858
(814) 835-3751
(814) 835-3755

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC005771
PA
213ES0131X
Foot Surgery Podiatrist
N006304-1
NY
213ES0131X
Foot Surgery Podiatrist
N006304-2
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P020106304
EXCELLUS BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/20/2007
Last updated
10/09/2020
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