Individual
MR. DANIEL R. MADRIGAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 S 4TH ST TRAFFIC WAY, VA EASTERN KANSAS HEALTHCARE SYSTEM, LEAVENWORTH, KS 73506
(913) 682-2000
Mailing address
PO BOX 7023, LAWTON, OK 73506-1023
(580) 536-5067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2464
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2464
OK. LICENSE NUMBER
OK
Enumeration date
06/13/2006
Last updated
07/08/2007
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