Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2088 | TX |
Y | 222Z00000X | Podiatrist | 2088 | TX |
N | 213E00000X | Podiatrist | POD001246 | GA |
N | 222Z00000X | Podiatrist | POD001246 | GA |
NPI | 1013209071 |
---|---|
Provider Name | Daniel Steven Piper |
First Address | Mountain Home, TN 37684-4000 |
Second Address | Mountain Home, TN 37684-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2011 |
Last Update Date | 14/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
336252701 | (05) | TX |
336252702 | CSHCN (01) | TX |