Individual
MR. DENNIS DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1235 E ST, FRESNO, CA 93706-2024
(559) 268-6261
(559) 268-7518
Mailing address
1174 S HIGHLAND AVE, LOS ANGELES, CA 90019-1750
(323) 549-9136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14598
CA
363AS0400X
Surgical Physician Assistant
PA14598
CA
Other
Enumeration date
03/07/2008
Last updated
06/06/2019
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