NPI 1578305272

Anthony Levell Dailey

Practitioner Driver Madison, WI

Practice location

Address: 1444 E Washington Ave, Madison, WI 53703-3009
Phone: (608) 294-0220
Mailing address: 917 Clarmar Dr, Sun Prairie, WI 53590-3013

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D400-0128-5370-06 (WI)

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Registry record

NPI: 1578305272
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2024
Record last updated: 12 Jun 2024

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.