Individual
DANIEL L PELLICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2955 IVY RD STE 304, CHARLOTTESVILLE, VA 22903-9353
(434) 243-4570
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101286498
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346632502
—
WI
Enumeration date
02/25/2015
Last updated
10/02/2025
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