NPI 1023704525
Daniel Hawk
Practice location
- Address
- 369 N Mira Ave, Star, ID 83669-5423
- Phone
- (208) 890-9316
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1023704525
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Apr 2023
- Record last updated
- 17 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.