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NPI Code Detail

MEDICARE: DANIEL DOORNINK

MEDICARE: DANIEL DOORNINK
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
1207R00000XInternal Medicine PhysicianMD00027085WA

General Provider Information

NPI Number : 1003837949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DOORNINK
Provider Business Mailing Address
First Line : 602 E NOB HILL BLVD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-3534
Country : US
Telephone Number : 509-248-3334
Fax Number : 509-453-6144
Provider Business Practice Location Address
First Line : 602 E NOB HILL BLVD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-3534
Country : US
Telephone Number : 509-248-3334
Fax Number : 509-453-6144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 03/05/2020

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Directions to “ DANIEL DOORNINK ” Practice Location

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