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NPI Code Detail

MEDICARE: DANIEL SALMERON MD

MEDICARE: DANIEL SALMERON MD
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
1207Q00000XFamily Medicine PhysicianMD.200830LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MD.200830OTHERLAMEDICAL LICESE
3P00341271OTHERLAPALMETTO GBA - RAILROAD M

General Provider Information

NPI Number : 1073551511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL SALMERON MD
Provider Business Mailing Address
First Line : 4809 AMBASSADOR CAFFERY PKWY
Second Line : SUITE 200
City : LAFAYETTE
State : LA
Zip : 70508-6917
Country : US
Telephone Number : 337-988-8801
Fax Number : 337-988-8805
Provider Business Practice Location Address
First Line : 14116 CUSTOMS BLVD
Second Line :
City : GULFPORT
State : MS
Zip : 39503-5164
Country : US
Telephone Number : 601-957-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 10/25/2019

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