Individual
DANIEL MARK MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2115 NE WYATT CT STE 201, BEND, OR 97701-7680
(541) 585-2400
Mailing address
2115 NE WYATT CT STE 201, SUITE 201, BEND, OR 97701-7680
(541) 585-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015987
NY
363A00000X
Physician Assistant
Primary
PA178695
OR
Other
Enumeration date
10/22/2012
Last updated
01/30/2017
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