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NPI Code Detail

MEDICARE: MS. SARAH VADEN DANIELSON PA

MEDICARE: MS. SARAH VADEN DANIELSON PA
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
12084P0800XPsychiatry PhysicianPA864OK

General Provider Information

NPI Number : 1275693053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH VADEN DANIELSON PA
Provider Business Mailing Address
First Line : 1300 E 15TH ST STE 130
Second Line :
City : EDMOND
State : OK
Zip : 73013-5051
Country : US
Telephone Number : 405-665-8787
Fax Number : 888-329-0731
Provider Business Practice Location Address
First Line : 1300 E 15TH ST STE 130
Second Line :
City : EDMOND
State : OK
Zip : 73013-5051
Country : US
Telephone Number : 405-665-8787
Fax Number : 888-329-0731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/23/2024

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Directions to “ MS. SARAH VADEN DANIELSON PA” Practice Location

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