Individual
DR. DANIEL MORTON SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6119 US HIGHWAY 11, CANTON, NY 13617-3991
(315) 261-5810
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 261-6034
(315) 261-6025
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
284667
NY
390200000X
Student in an Organized Health Care Education/Training Program
0116027571
VA
Other
Enumeration date
04/14/2011
Last updated
03/31/2021
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