Individual
DANIEL SULTAN HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4515 COORS BLVD NW, ALBUQUERQUE, NM 87120-3699
(505) 596-2200
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0278
NM
Other
Enumeration date
12/20/2022
Last updated
02/09/2024
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