Individual
DR. PATRICK JAMES DANAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 BOATNER RD STE 114, 96 MDG/96 MDOS/SGOMI, EGLIN AFB, FL 32542-1302
(850) 883-8217
Mailing address
307 BOATNER RD STE 114, 96 MDG/96 MDOS/SGOMI, EGLIN AFB, FL 32542-1302
(850) 883-8217
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
R4534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394190801
—
TX
Enumeration date
05/12/2006
Last updated
03/22/2019
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