Provider Demographics
NPI:1497494173
Name:MCGONIGAL, DANIEL E (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:E
Last Name:MCGONIGAL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:EDWARD
Other - Last Name:MCGONIGAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:71 CHIPPY LN
Mailing Address - Street 2:
Mailing Address - City:MORRISDALE
Mailing Address - State:PA
Mailing Address - Zip Code:16858-9351
Mailing Address - Country:US
Mailing Address - Phone:814-592-5006
Mailing Address - Fax:
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:866-785-8537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical