Provider Demographics
NPI:1427597079
Name:HALLMAN, DANIEL L (DPM)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:HALLMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E DESERT INN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3206
Mailing Address - Country:US
Mailing Address - Phone:888-880-3451
Mailing Address - Fax:310-496-0818
Practice Address - Street 1:1700 E DESERT INN RD STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3206
Practice Address - Country:US
Practice Address - Phone:888-880-3451
Practice Address - Fax:310-496-0818
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2054213ES0103X
IL135000944213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery