Individual
JONATHAN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 265-5720
Mailing address
755 E MCDOWELL RD FL 2, PHOENIX, AZ 85006-2506
(602) 521-3222
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
77173
AZ
2084N0400X
Neurology Physician
77173
AZ
2084N0400X
Neurology Physician
MD2023-0294
NM
Other
Enumeration date
04/20/2018
Last updated
11/25/2025
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