Individual
DR. DANIEL YOOJYIM VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1010 W 21ST AVE, COVINGTON, LA 70433-7443
(985) 893-3524
(985) 893-9877
Mailing address
1010 W 21ST AVE, COVINGTON, LA 70433-7443
(985) 893-3524
(985) 893-9877
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DPM200001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479829
—
LA
01
—
P00267274
RAILROAD MEDICARE PTAN
LA
Enumeration date
06/17/2005
Last updated
04/28/2010
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