Basic Information
Provider Information
NPI: 1376535831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVER
FirstName: DANIEL
MiddleName: FRANK
NamePrefix: MR.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10301 N 92ND ST
Address2: SUITE 101
City: SCOTTSDALE
State: AZ
PostalCode: 852584511
CountryCode: US
TelephoneNumber: 4806612662
FaxNumber: 4806619716
Practice Location
Address1: 10301 N 92ND ST
Address2: SUITE 101
City: SCOTTSDALE
State: AZ
PostalCode: 852584511
CountryCode: US
TelephoneNumber: 4806612662
FaxNumber: 4806619716
Other Information
ProviderEnumerationDate: 08/19/2005
LastUpdateDate: 01/31/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X3208AZY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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