Individual
DANIEL GLEN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1425 S MAIN ST, MEDICAL OFFICE BLDG, 1ST FLOOR, ORTHOPEDICS, WALNUT CREEK, CA 94596-5318
(925) 295-4498
Mailing address
536 DEL MAR AVE, VALLEJO, CA 94589-2603
(707) 731-2641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19215
CA
Other
Enumeration date
06/20/2007
Last updated
02/11/2022
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