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Individual

DR. MAIA S DANIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 262-3119
(907) 262-9290
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7303
(907) 262-9290

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
122413
AK
207V00000X
Obstetrics & Gynecology Physician
L2210
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147203706
TX
05
1673381
AK
Enumeration date
12/07/2006
Last updated
07/21/2022
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