Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 33083 | CA |
NPI | 1639554454 |
---|---|
Provider Name | Dr. Daniel Alfred Nash II |
First Address | Dixon, CA 95620-2100 |
Second Address | Dixon, CA 95620-2100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2015 |
Last Update Date | 22/07/2015 |