Individual
DR. DANIEL A. WAXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(209) 473-6555
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G53093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G530930
—
CA
Enumeration date
10/24/2006
Last updated
11/08/2013
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