Individual
DANIEL ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NMRTC NAVAL HOSPITAL TWENTYNINE PALMS, 1145 STURGIS ROAD, 29 PALMS, CA 92278-8275
(760) 830-2117
Mailing address
NMRTC NAVAL HOSPITAL TWENTYNINE PALMS, 1145 STURGIS ROAD, 29 PALMS, CA 92278-8275
(760) 830-2117
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101272570
VA
Other
Enumeration date
04/18/2016
Last updated
05/21/2024
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