Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 40619 | AZ |
NPI | 1104803949 |
---|---|
Provider Name | Daniel D Galat JR. |
First Address | Phoenix, AZ 85018 |
Second Address | Scottsdale, AZ 85258-4528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 02/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
934650300 | (05) | MN |
I12112 | (02) |