Individual
MICHAEL DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 E BROADWAY, SUITE 110, COLUMBIA, MO 65201-8023
(573) 815-2236
(573) 815-2232
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 815-2236
(573) 815-2232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33542
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240220228
—
MO
Enumeration date
08/31/2006
Last updated
10/01/2013
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