Individual
DANIEL G MANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1575 SOQUEL DR, STE C, SANTA CRUZ, CA 95065-1700
(650) 934-3546
Mailing address
P.O. BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1570
KY
363A00000X
Physician Assistant
Primary
PA52173
CA
363AS0400X
Surgical Physician Assistant
100380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100123670
—
KY
05
—
7901940
—
NC
01
—
970003664
RAILROAD MEDICARE
NC
Enumeration date
01/04/2007
Last updated
08/22/2016
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