Individual
MR. MARK STEVEN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD 0657
Contact information
Practice address
312 N BUTLER AVE, FARMINGTON, NM 87401-6946
(505) 564-9990
(505) 564-9991
Mailing address
312 N BUTLER AVE, FARMINGTON, NM 87401-6946
(505) 564-9990
(505) 564-9991
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0657
NM
Other
Enumeration date
12/01/2006
Last updated
08/23/2007
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