Provider Demographics
NPI:1780168666
Name:DANYEUR, BILL DARREL
Entity type:Individual
Prefix:
First Name:BILL
Middle Name:DARREL
Last Name:DANYEUR
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 1:103 TUSTIN CT
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-1625
Mailing Address - Country:US
Mailing Address - Phone:707-334-7007
Mailing Address - Fax:
Practice Address - Street 1:TOURO UNIVERSITY CALIFORNIA DPP
Practice Address - Street 2:1310 CLUB DRIVE
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94592
Practice Address - Country:US
Practice Address - Phone:707-638-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator