Individual
MR. DANIEL JAMES NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MSM, PA-C
Contact information
Practice address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 247-3010
(877) 303-8768
Mailing address
202 10TH ST SE STE 140, CEDAR RAPIDS, IA 52403-2432
(319) 398-1545
(309) 762-3690
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0000000865
TN
363A00000X
Physician Assistant
Primary
074769
IA
363A00000X
Physician Assistant
085005376
IL
363AM0700X
Medical Physician Assistant
2401
TN
Other
Enumeration date
11/19/2008
Last updated
04/30/2025
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