Provider Demographics
NPI:1952579872
Name:SUHR, DANIEL A (PA-C)
Entity Type:Individual
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First Name:DANIEL
Middle Name:A
Last Name:SUHR
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1901 TOWN AND COUNTRY DR
Mailing Address - Street 2:STE 104
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-3611
Mailing Address - Country:US
Mailing Address - Phone:951-808-6240
Mailing Address - Fax:951-738-9954
Practice Address - Street 1:308 W 6TH ST STE 101
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3349
Practice Address - Country:US
Practice Address - Phone:951-737-0910
Practice Address - Fax:951-371-1906
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2023-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14016363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant