Provider Demographics
NPI:1346253481
Name:DALY, ED C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ED
Middle Name:C
Last Name:DALY
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:1481 W 10TH ST
Mailing Address - Street 2:NEUROLOGY SERVICE (127), INDIANAPOLIS VAMC
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:317-988-2715
Mailing Address - Fax:317-988-3044
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:NEUROLOGY SERVICE (127), INDIANAPOLIS VAMC
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-988-2715
Practice Address - Fax:317-988-3044
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01028119A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology