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Individual

DR. BENJAMIN HARRISON DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 VIRGIL AVE SE, MOUNT VERNON, IA 52314-1589
(319) 895-8841
(319) 895-8477
Mailing address
200 VIRGIL AVE SE, MOUNT VERNON, IA 52314-1589
(319) 895-8841
(319) 895-8477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37894
IA
207Q00000X
Family Medicine Physician
R8109
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992901268
IA
Enumeration date
06/25/2007
Last updated
08/24/2010
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