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Individual

DANIEL B VANCE IV

Active
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Individual

DANIEL B VANCE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12815
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31882941
TN
05
3188296
TN
01
4178405
BCBS
SD
01
4178405
BCBS
TN
Enumeration date
02/15/2006
Last updated
09/04/2020
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