Individual
DR. DANIEL EDWARD DEBARDELEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Mailing address
2222 BENWOOD ST, HARLINGEN, TX 78550-8532
(956) 389-2448
(956) 389-2498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.143366
OH
207Q00000X
Family Medicine Physician
90167
GA
207Q00000X
Family Medicine Physician
Primary
M-2282
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
02/08/2022
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