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Individual

DAVID F DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
72 E MAIN ST, REXBURG, ID 83440-1926
(208) 359-1770
(208) 359-1780
Mailing address
72 E MAIN ST, REXBURG, ID 83440-1926
(208) 359-1770
(208) 359-1780

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-190
ID

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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