Individual
MYLAN DANIEL PANTEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 CHERRY AVE STE 315, BREMERTON, WA 98310-4201
(360) 479-2360
(360) 479-4038
Mailing address
2601 CHERRY AVE STE 315, BREMERTON, WA 98310-4201
(360) 479-2360
(360) 479-4038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61593749
WA
Other
Enumeration date
04/21/2021
Last updated
09/19/2025
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