Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | POD414 | NM |
NPI | 1023403078 |
---|---|
Provider Name | Daniel O. Mcaffee |
First Address | Farmington, NM 87401-4559 |
Second Address | Farmington, NM 87401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2015 |
Last Update Date | 13/08/2018 |