NPI 1710262639

Ardell Clay Daniels

Practitioner Case Manager/Care Coordinator Goodyear, AZ

Practice location

Address: 18115 W Cardinal Dr, Goodyear, AZ 85338-5112
Phone: (602) 931-3683
Fax: (623) 873-6127

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 234348 (AZ)

Other Case Manager/Care Coordinator providers in Arizona →

Registry record

NPI: 1710262639
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2011
Record last updated: 12 Oct 2011

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.