Provider Demographics
NPI:1750813267
Name:ADDO, DANIEL
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:ADDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ORAL ROBERTS UNIVERSITY 7777 S LEWIS AVE
Mailing Address - Street 2:ORU CPO 71-1456
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74171-0001
Mailing Address - Country:US
Mailing Address - Phone:918-508-4942
Mailing Address - Fax:
Practice Address - Street 1:ORAL ROBERTS UNIVERSITY 7777 S LEWIS AVE
Practice Address - Street 2:ORU CPO 71-1456
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74171-0001
Practice Address - Country:US
Practice Address - Phone:918-508-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program