MEDICARE: DANIEL L HALLMAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	2054	NV
2	213ES0103X	Foot & Ankle Surgery Podiatrist	135000944	IL

General Provider Information

NPI Number	:	1427597079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL L HALLMAN DPM

Provider Business Mailing Address
First Line	:	1700 E DESERT INN RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3206
Country	:	US
Telephone Number	:	888-880-3451
Fax Number	:	310-496-0818

Provider Business Practice Location Address
First Line	:	1700 E DESERT INN RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3206
Country	:	US
Telephone Number	:	888-880-3451
Fax Number	:	310-496-0818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	10/17/2022

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