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NPI Code Detail

MEDICARE: DR. DANIEL HAMPTON DEWSNUP

MEDICARE:  DR. DANIEL HAMPTON DEWSNUP
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
1207RI0200XInfectious Disease PhysicianDO20313OR

General Provider Information

NPI Number : 1871527911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL HAMPTON DEWSNUP
Provider Business Mailing Address
First Line : 3362 HONEYWOOD ST
Second Line :
City : EUGENE
State : OR
Zip : 97408-4651
Country : US
Telephone Number : 541-485-1842
Fax Number : 541-440-1344
Provider Business Practice Location Address
First Line : 913 NW GARDEN VALLEY BLVD
Second Line : VA ROSEBURG MEDICAL CENTER
City : ROSEBURG
State : OR
Zip : 97470-6523
Country : US
Telephone Number : 541-440-1000
Fax Number : 541-440-1000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DANIEL HAMPTON DEWSNUP ” Practice Location

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