Healthcare Provider Details

I. General information

NPI: 1801988878
Provider Name (Legal Business Name): DANIEL E BAHNMILLER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 KEENE RD
RICHLAND WA
99352-8683
US

IV. Provider business mailing address

138 KEENE RD
RICHLAND WA
99352-8683
US

V. Phone/Fax

Practice location:
  • Phone: 509-628-8866
  • Fax:
Mailing address:
  • Phone: 509-628-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberOP00002032
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: