Individual
MATTHEW D DANILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA- C
Contact information
Practice address
2700 1ST AVE S STE 100, FORT DODGE, IA 50501-4300
(515) 576-8581
Mailing address
1316 S MAIN ST, CLARION, IA 50525-2019
(319) 343-1161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2199
WI
363AS0400X
Surgical Physician Assistant
Primary
002044
IA
363AS0400X
Surgical Physician Assistant
1112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1079661
NCCPA
—
Enumeration date
10/03/2007
Last updated
01/26/2024
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