Provider Demographics
NPI:1790004984
Name:CAVANAUGH, DANIEL LEE (MD)
Entity Type:Individual
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First Name:DANIEL
Middle Name:LEE
Last Name:CAVANAUGH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:130 MASON FARM RD
Mailing Address - Street 2:DEPARTMENT ORTHOPAEDICS, CB# 7055
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-6134
Mailing Address - Country:US
Mailing Address - Phone:919-966-9071
Mailing Address - Fax:919-966-6730
Practice Address - Street 1:130 MASON FARM RD
Practice Address - Street 2:DEPARTMENT ORTHOPAEDICS, CB# 7055
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-6134
Practice Address - Country:US
Practice Address - Phone:919-966-9071
Practice Address - Fax:919-966-6730
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2016-10-21
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Provider Licenses
StateLicense IDTaxonomies
NC166376207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine