Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A159724 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | 66978 | MN |
N | 207RH0002X | Hospice and Palliative Medicine | A159724 | CA |
NPI | 1104357201 |
---|---|
Provider Name | Dac Teoli |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2017 |
Last Update Date | 05/11/2021 |