Provider Demographics
NPI:1144384975
Name:ENGLUND, DANNY WARREN (PA)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:WARREN
Last Name:ENGLUND
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 2213
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81215-2213
Mailing Address - Country:US
Mailing Address - Phone:719-275-1136
Mailing Address - Fax:719-269-5363
Practice Address - Street 1:HWY 50 & EVANS BLVD
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212
Practice Address - Country:US
Practice Address - Phone:719-269-5375
Practice Address - Fax:719-269-5363
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO300363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant