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Individual

DANNY FORSYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83665
SC
207L00000X
Anesthesiology Physician
MD061797L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001719865
PA
05
836652
SC
Enumeration date
12/21/2005
Last updated
05/13/2024
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