MEDICARE: DANIEL A SUHR PA-C

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
1	363A00000X	Physician Assistant	PA14016	CA

General Provider Information

NPI Number	:	1952579872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL A SUHR PA-C

Provider Business Mailing Address
First Line	:	1901 TOWN AND COUNTRY DR
Second Line	:	STE 104
City	:	NORCO
State	:	CA
Zip	:	92860-3611
Country	:	US
Telephone Number	:	951-808-6240
Fax Number	:	951-738-9954

Provider Business Practice Location Address
First Line	:	308 W 6TH ST STE 101
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-3349
Country	:	US
Telephone Number	:	951-737-0910
Fax Number	:	951-371-1906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	10/27/2023

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