Individual
DR. HENRY MYRICK DANIELS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 PUUHONU PL, SUITE# 205, HILO, HI 96720-2010
(808) 933-2400
(808) 933-2442
Mailing address
5866 LEESBURG PIKE, FALLS CHURCH, VA 22041-2309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD-4154
HI
207X00000X
Orthopaedic Surgery Physician
Primary
0101039512
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256365-03
—
HI
Enumeration date
05/20/2006
Last updated
01/23/2023
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