Healthcare Provider Details

I. General information

NPI: 1659484103
Provider Name (Legal Business Name): DANIEL RICHARD SZEKELY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVENUE
TACOMA WA
98431-0384
US

IV. Provider business mailing address

MADIGAN ARMY MEDICAL CENTER 9040JACKSON AVENUE
TACOMA WA
98431-0001
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-2885
  • Fax:
Mailing address:
  • Phone: 253-968-3885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4430
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD00021261
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: