Individual
MARK DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2979 SQUALICUM PKWY, SUITE 101, BELLINGHAM, WA 98225-1811
(360) 734-2700
(360) 734-8362
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 734-2700
(360) 734-8362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00039185
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00039185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279972
L&I AND CRIME VICTIMS FOR PHMG
WA
01
—
060066730
RAILROAD MEDICARE
WA
05
—
1831149905
—
WA
01
—
5104548
AETNA
WA
01
—
5442DA
REGENCE BLUE SHIELD
WA
01
—
82107
L&I AND CRIME VICTIMS FOR SJMC
WA
05
—
8265027
—
WA
01
—
G008
TRI WEST (TRICARE)
WA
01
—
GAB26184
MEDICARE PIN FOR SJMC
WA
05
—
MD2373W
—
AK
Enumeration date
05/11/2006
Last updated
07/20/2011
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