Individual
DARYL Y MAKISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
160 GALLERY DR STE 800, CANONSBURG, PA 15317-2690
(724) 260-7250
(724) 260-7272
Mailing address
160 GALLERY DR STE 800, CANONSBURG, PA 15317-2690
(724) 260-7250
(724) 260-7272
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OS012146
PA
2085R0203X
Therapeutic Radiology Physician
OS012146
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102647950
—
PA
Enumeration date
11/28/2005
Last updated
10/10/2020
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