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Individual

DANIEL ROBERT MORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1551 BISHOP ST STE 220, SAN LUIS OBISPO, CA 93401-4661
(805) 543-2744
(805) 543-0539
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A72421
CA
207KA0200X
Allergy Physician
A72421
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB404055
MEDICARE
CA
05
GR0071130
CA
Enumeration date
07/13/2005
Last updated
10/17/2023
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