Provider Demographics
NPI:1376633891
Name:MCDANIEL, LUKE BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:BRUCE
Last Name:MCDANIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:32020 LITTLE BOSTON RD NE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-9734
Mailing Address - Country:US
Mailing Address - Phone:360-297-2840
Mailing Address - Fax:360-297-7052
Practice Address - Street 1:32020 LITTLE BOSTON RD NE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:WA
Practice Address - Zip Code:98346-9734
Practice Address - Country:US
Practice Address - Phone:360-297-2840
Practice Address - Fax:360-297-7052
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60069003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine