Provider Demographics
NPI:1407848948
Name:FEAR, DANIEL R (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:R
Last Name:FEAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2620 E. BARNETT ROAD
Mailing Address - Street 2:SUITE H
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504
Mailing Address - Country:US
Mailing Address - Phone:541-789-8176
Mailing Address - Fax:541-789-2558
Practice Address - Street 1:537 SW UNION AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527
Practice Address - Country:US
Practice Address - Phone:541-476-7775
Practice Address - Fax:541-476-3572
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2015-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD19356207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR073655Medicare ID - Type Unspecified
ORG05255Medicare UPIN
OROOWCGMKDMedicare ID - Type Unspecified