Individual
DANIEL C MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
782 DELNERO DR, SONORA, CA 95370-5223
(209) 694-7123
Mailing address
782 DELNERO DR, SONORA, CA 95370-5223
(209) 694-7123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A71176
CA
207R00000X
Internal Medicine Physician
Primary
A71176
CA
208M00000X
Hospitalist Physician
A71176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A711760
—
CA
Enumeration date
05/05/2006
Last updated
10/23/2023
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