Provider Demographics
NPI:1801074836
Name:OBER, DANIEL LEE (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LEE
Last Name:OBER
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 1:135 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1651
Mailing Address - Country:US
Mailing Address - Phone:412-490-7811
Mailing Address - Fax:
Practice Address - Street 1:135 MEADOW DR
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1651
Practice Address - Country:US
Practice Address - Phone:412-490-7811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH9168207Q00000X
PA0S012598207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine