Individual
DR. ROSS A MCDANIEL
Active
Individual
DR. ROSS A MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1019
SD
111NS0005X
Sports Physician Chiropractor
Primary
1019
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243137
MIDLANDS CHOICE
SD
01
—
33947
SIOUX VALLEY HEALTH PLAN
SD
01
—
4994584
BLUE CROSS
SD
01
—
7447594
AETNA
SD
05
—
7601810
—
SD
01
—
9483
AVERA HEALTH PLANS
SD
01
—
C1019
DAKOTACARE
SD
Enumeration date
12/21/2005
Last updated
09/05/2012
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