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Individual

DR. DANIEL FREDERICK VIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4050
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 428-0100

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
15363
MS
2085R0202X
Diagnostic Radiology Physician
Primary
15363
MS
2085R0204X
Vascular & Interventional Radiology Physician
15363
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118282
MS
01
1942214846
GROUP MEDICARE NPI
Enumeration date
08/01/2006
Last updated
04/23/2026
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