Individual
DR. DANIEL IRWIN DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2524 LAUREL LAKES AVE, BATON ROUGE, LA 70820-5736
(225) 769-4171
(225) 262-7714
Mailing address
10880 JOOR ROAD, BATON ROUGE, LA 70818
(225) 262-7710
(225) 262-7714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA11123R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663387
—
LA
Enumeration date
02/13/2006
Last updated
02/15/2013
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