Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD027151L | PA |
NPI | 1013321173 |
---|---|
Provider Name | Dr. Marvin Clifford Daley |
First Address | Lancaster, PA 17601-5642 |
Second Address | Lancaster, PA 17601-5642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 17/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD027151L | PENNSYLVANIS STATE (01) | PA |