Provider Demographics
NPI:1265919914
Name:PAUL N DANIELS DPM
Entity type:Organization
Organization Name:PAUL N DANIELS DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-483-1015
Mailing Address - Street 1:1449 E 3300 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-3308
Mailing Address - Country:US
Mailing Address - Phone:801-483-1015
Mailing Address - Fax:801-553-9562
Practice Address - Street 1:1449 E 3300 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-3308
Practice Address - Country:US
Practice Address - Phone:801-483-1015
Practice Address - Fax:801-553-9562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT103337-0501213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty