Dr. Daniel J Kwak
Pediatrician Neonatal-Perinatal Doctor
175 N 100 W Ste 106
Vernal
, Utah 84078
Dr. Daniel J Kwak
Pediatrician Neonatal-Perinatal Doctor
175 N 100 W Ste 106
Vernal
, Utah 84078
(435) 789-7754
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Dr. Daniel J Kwak
- 175 N 100 W Ste 106
- Vernal, UT
- Zip : 84078
- Fax : (435) 789-7754
- Phone : (435) 789-9060
Second Address
- Dr. Daniel J Kwak
- 175 N 100 W Ste 106
- Vernal, UT
- Zip : 84078
- Fax : (435) 789-7754
- Phone : (435) 789-9060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 6321491-1205 | UT |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 6321491-1205 | UT |
National Provider Identifier
| NPI | 1023185444 |
|---|---|
| Provider Name | Dr. Daniel J Kwak |
| First Address | Vernal, UT 84078 |
| Second Address | Vernal, UT 84078 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 26/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.