Individual
DR. EMMETH DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0414
Mailing address
8893 MCNAIR DR, ALEXANDRIA, VA 22309-3956
(703) 799-4938
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101029244
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10181445
—
VA
05
—
3810017570
—
WV
01
—
P00389981
RAILROAD MEDICARE
VA
Enumeration date
11/07/2005
Last updated
06/09/2010
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