Provider Demographics
NPI:1043506389
Name:MCDANIEL, ERIN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ELIZABETH
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 NW COMMERCE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5883
Mailing Address - Country:US
Mailing Address - Phone:816-554-3646
Mailing Address - Fax:816-554-3607
Practice Address - Street 1:701 NW COMMERCE DR STE 102
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5883
Practice Address - Country:US
Practice Address - Phone:816-554-3646
Practice Address - Fax:816-554-3607
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014018652208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics