Healthcare Provider Details

I. General information

NPI: 1730137316
Provider Name (Legal Business Name): DANIEL DEES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1ST AND A ST
HAWTHORNE NV
89415-1510
US

IV. Provider business mailing address

PO BOX 1510 1ST AND A ST
HAWTHORNE NV
89415-1510
US

V. Phone/Fax

Practice location:
  • Phone: 775-945-2461
  • Fax: 775-945-2359
Mailing address:
  • Phone: 775-945-2461
  • Fax: 775-945-2359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4678
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: