Individual
DR. DANIEL E JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0414
Mailing address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101028078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10116112
—
VA
01
—
P00189309
RAILROAD MCR
—
Enumeration date
11/08/2005
Last updated
01/16/2008
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