Mr. Daniel Thomas Dubose
Otolaryngology/Facial Plastic Surgery
795 Morning Star Drive
Sonora
, California 95370
Mr. Daniel Thomas Dubose
Otolaryngology/Facial Plastic Surgery
795 Morning Star Drive
Sonora
, California 95370
(209) 533-0924
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Mr. Daniel Thomas Dubose
- 795 Morning Star Drive
- Sonora, CA
- Zip : 95370
- Fax : (209) 533-0924
- Phone : (209) 533-2545
Second Address
- Mr. Daniel Thomas Dubose
- 795 Morning Star Drive
- Sonora, CA
- Zip : 95370
- Fax : (209) 533-0924
- Phone : (209) 533-2545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G670890 | CA |
National Provider Identifier
| NPI | 1164437471 |
|---|---|
| Provider Name | Mr. Daniel Thomas Dubose |
| First Address | Sonora, CA 95370 |
| Second Address | Sonora, CA 95370 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2006 |
| Last Update Date | 24/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G670890 | (05) | CA |
| 040011285 | RAILROAD RETIREMENT (01) | CA |
| G33514 | (02) | CA |
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.