Individual
DR. DANIEL R GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1660 SYCAMORE RD, SUIT C, MONTOURSVILLE, PA 17754-9314
(570) 326-8080
(570) 326-2733
Mailing address
1660 SYCAMORE RD, SUIT C, MONTOURSVILLE, PA 17754-9314
(570) 326-8080
(570) 326-2733
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS 003541L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00998293
—
PA
Enumeration date
12/14/2005
Last updated
09/20/2010
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