Individual
MR. DANIEL JOSEPH PUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
106 NW VETERANS BLVD, MIAMI, OK 74354-1818
(918) 238-3074
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015022775
MO
363LF0000X
Family Nurse Practitioner
Primary
202115
OK
Other
Enumeration date
04/08/2021
Last updated
05/21/2021
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