Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | G34597 | CA |
N | 207QS0010X | Family Doctor - Sports Medicine | G34597 | CA |
NPI | 1285624502 |
---|---|
Provider Name | Dr. Patrick Dennis Daley |
First Address | Bakersfield, CA 93308-6340 |
Second Address | Bakersfield, CA 93308-6340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 11/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A45994 | (02) | CA |