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Daniel Hawk
NPI 1023704525 · on the registry since 2023 · sole proprietor
Practice
- Address
- 369 N Mira Ave
Star, ID 83669 - Phone
- (208) 890-9316
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho