Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic |
NPI | 1811163348 |
---|---|
Provider Name | Mr. Howard G Daniel |
First Address | Saint Helens, OR 97051-9030 |
Second Address | Saint Helens, OR 97051-9030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |