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Individual

BRET DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6415 LINCOLN HWY, WRIGHTSVILLE, PA 17368-9697
(717) 252-1200
(717) 252-0259
Mailing address
6415 LINCOLN HWY, WRIGHTSVILLE, PA 17368-9697
(717) 252-1200
(717) 252-0259

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD57402L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015801390003
PA
05
0015801390007
PA
05
0015801390008
PA
01
0824775000
AMERIHEALTH
PA
01
1136939
KEYSTONE MERCY
PA
01
20029552 COLUMBIA
MERCY
PA
01
20030976 WRIGHTS
MERCY
PA
01
3264144
AETNA HMO
PA
01
50049084
CAPITAL BLUE CROSS
PA
01
5067439
AETNA PPO
PA
01
800768
HIGHMARK BLUE SHIELD
PA
01
80100827
RAILROAD MEDICARE
PA
01
PCP P002659
GATEWAY
PA
01
PCP-000000138812
UNISON
PA
Enumeration date
02/13/2006
Last updated
03/30/2011
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