Provider Demographics
NPI:1033474143
Name:VERONIE, DANIEL ANTHONY (MS, PA-C, ATC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANTHONY
Last Name:VERONIE
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Gender:M
Credentials:MS, PA-C, ATC
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Mailing Address - Street 1:5890 W 13TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4821
Mailing Address - Country:US
Mailing Address - Phone:970-348-0020
Mailing Address - Fax:970-348-0044
Practice Address - Street 1:5890 W 13TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4821
Practice Address - Country:US
Practice Address - Phone:970-348-0020
Practice Address - Fax:970-348-0044
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-23
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Provider Licenses
StateLicense IDTaxonomies
COPA.0003493363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant