NPI 1104869353

Dirk H. Danielson, MD

Practitioner Emergency Medicine Physician Picayune, MS

Practice location

Address: 801goodyear Blvd., Picayune, MS 39466-3221
Phone: (601) 452-9690
Mailing address: 200 Corporate Blvd. Suite 201, Lafayette, LA 70508

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 13167 (MS)

Other Emergency Medicine providers in Mississippi →

Registry record

NPI: 1104869353
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 6 Jul 2010

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.