Individual
DR. CHARLES J DANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
201 W PARK DR, GRAND JUNCTION, CO 81505-1469
(970) 245-3338
(970) 245-9499
Mailing address
201 W PARK DR, GRAND JUNCTION, CO 81505-1469
(970) 245-3338
(970) 245-9499
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
CO486
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004860
—
CO
01
—
1366490666
RAILROAD MEDICARE
CO
01
—
1720207863
NPI GROUP
CO
01
—
480019197
RAILROAD MEDICARE
CO
Enumeration date
05/05/2006
Last updated
12/06/2018
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