Individual
DR. DANIEL M O'ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 N STATE OF FRANKLIN RD, STE 9, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Mailing address
701 N STATE OF FRANKLIN RD, STE 2, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1720
TN
207RC0000X
Cardiovascular Disease Physician
0102201788
VA
207RC0000X
Cardiovascular Disease Physician
Primary
1720
TN
207RC0000X
Cardiovascular Disease Physician
OS006046E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740216910
—
VA
05
—
3319525
—
TN
01
—
621112685
UNITED HEALTHCARE
TN
05
—
64108509
—
KY
Enumeration date
06/22/2006
Last updated
11/22/2019
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