Individual
DANIEL A PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(910) 922-7664
Mailing address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(910) 922-7664
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
02/21/2024
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