Mcdaniel, Holly
Mcdaniel, Holly is an individual health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Mcdaniel, Holly can be contacted via phone (602) 685-5211.Contact Information
Primary practice address
1400 S Dobson Rd
Mesa AZ 85202-4707
Phone: (602) 685-5211
Fax: (602) 685-5325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 40735 | Arizona |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 40735 | Arizona |
Profile Details
| NPI number | 1013937689 |
|---|---|
| LBN Legal business name | Mcdaniel, Holly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Aug 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013937689 | NPPES |
| Arizona | MEDICAID | 371009 |
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