Individual
DR. DANIEL S PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 E HERNDON AVE, SUITE 200, FRESNO, CA 93720-3309
(559) 450-3109
(559) 450-3674
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
(415) 883-1836
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
A92101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A921010
—
CA
01
—
P00243797
RAILROAD MEDICARE PIN
—
Enumeration date
06/02/2006
Last updated
12/17/2021
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