Dr. Daniel J Kwak, MD
Pediatrics in Vernal, UT. Individual provider (NPI-1).
NPI number1023185444
StatusActive
Last updated in NPPESMay 26, 2011
Details
- NPI
- 1023185444
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel J Kwak
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- May 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 6321491-1205 | UT | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 6321491-1205 | UT |
Practice location
175 N 100 WSte 106
Vernal, UT 84078
Phone 435-789-9060 · Fax 435-789-7754
Mailing address
175 N 100 WSte 106
Vernal, UT 84078
Phone 435-789-9060 · Fax 435-789-7754
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