Provider Demographics
NPI:1558757401
Name:HILTON, DANIEL (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HILTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 N DURANGO DR STE 314
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4598
Mailing Address - Country:US
Mailing Address - Phone:702-834-5886
Mailing Address - Fax:702-834-5752
Practice Address - Street 1:6850 N DURANGO DR STE 314
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4598
Practice Address - Country:US
Practice Address - Phone:702-834-5886
Practice Address - Fax:702-834-5752
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO2674207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5101021716OtherDEPT. OF LICENSING AND REGULATORY AFFAIRS - OSTEOPATHIC EDUCATIONAL LMTD.
MI5315070188OtherDEPT. OF LICENSING AND REGULATORY AFFAIRS - CS-1