Individual
DANIEL S MCKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(925) 759-4987
Mailing address
1924 CHAMBERS CIR, BRENTWOOD, CA 94513-5922
(925) 759-4987
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1045485
—
Other
Enumeration date
01/26/2006
Last updated
02/11/2022
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