Individual
DR. DONALD DAFOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD., LOS ANGELES, CA 90048-1865
(310) 423-4621
(310) 423-3864
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-4621
(310) 423-3864
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G72690
CA
Other
Enumeration date
12/02/2005
Last updated
08/21/2014
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