Individual
DANIEL CASTANEDA MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S MAIN ST, REIDSVILLE, NC 27320-5033
(336) 342-6880
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
202004455
NC
207RG0100X
Gastroenterology Physician
TRN25978
FL
Other
Enumeration date
07/03/2015
Last updated
07/19/2021
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