MEDICARE: DANNY A MILNER JR.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	223519	MA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	68528	AZ
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	C172399	CA

General Provider Information

NPI Number	:	1033158167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY A MILNER JR.

Provider Business Mailing Address
First Line	:	3928 MISSION PEAK
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-1237
Country	:	US
Telephone Number	:	760-333-1491
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 WHITE FEATHER RD
Second Line	:
City	:	JOSHUA TREE
State	:	CA
Zip	:	92252-6607
Country	:	US
Telephone Number	:	760-366-6273
Fax Number	:	760-366-6461

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	03/04/2024

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Directions to “ DANNY A MILNER JR. ” Practice Location

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