Basic Information
Provider Information
NPI: 1043359078
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEE
FirstName: DANIEL
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 26666
Address2: PROVIDER ENROLLMENT
City: ALBUQUERQUE
State: NM
PostalCode: 871256666
CountryCode: US
TelephoneNumber: 5058236770
FaxNumber: 5058235354
Practice Location
Address1: 6400 PASEO DEL NORTE BLVD NE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871131718
CountryCode: US
TelephoneNumber: 5055962100
FaxNumber: 5055962180
Other Information
ProviderEnumerationDate: 02/06/2007
LastUpdateDate: 07/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X12034MTN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD2008-0700NMY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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