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NPI Code Detail

MEDICARE: DR. HAROLD MARC MCDANIEL M.D.

MEDICARE: DR. HAROLD MARC MCDANIEL M.D.
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
12084P0804XChild & Adolescent Psychiatry PhysicianA034762CA

General Provider Information

NPI Number : 1760570097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD MARC MCDANIEL M.D.
Provider Business Mailing Address
First Line : 303 41ST ST
Second Line :
City : RICHMOND
State : CA
Zip : 94805-2221
Country : US
Telephone Number : 510-374-3261
Fax Number :
Provider Business Practice Location Address
First Line : 303 41ST ST
Second Line :
City : RICHMOND
State : CA
Zip : 94805-2221
Country : US
Telephone Number : 510-374-3261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 03/21/2013

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