Provider Demographics
NPI:1548596893
Name:DAOUD, MAURICE (DC)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:
Last Name:DAOUD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73140 HIGHWAY 111
Mailing Address - Street 2:STE 8
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3927
Mailing Address - Country:US
Mailing Address - Phone:760-834-8725
Mailing Address - Fax:
Practice Address - Street 1:73140 HIGHWAY 111
Practice Address - Street 2:STE 8
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3927
Practice Address - Country:US
Practice Address - Phone:760-834-8725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor