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NPI Code Detail

MEDICARE: DAPHNE PALMER MD

MEDICARE: DAPHNE PALMER 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
12085R0001XRadiation Oncology Physician11254NV
22085R0001XRadiation Oncology PhysicianG55391CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210966232OTHERCAQH

General Provider Information

NPI Number : 1205896024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHNE PALMER MD
Provider Business Mailing Address
First Line : 10121 PINE AVE
Second Line :
City : TRUCKEE
State : CA
Zip : 96161-4835
Country : US
Telephone Number : 530-582-6450
Fax Number : 530-582-6430
Provider Business Practice Location Address
First Line : 10121 PINE AVE
Second Line :
City : TRUCKEE
State : CA
Zip : 96161-4835
Country : US
Telephone Number : 530-582-6450
Fax Number : 530-582-6430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 12/14/2012

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