Daniel B. Channell, M.d., Inc.

NPI #1225343320 in Upland, California

Provider Information

NPI Number
1225343320
Entity Type
Organization
Organization Name
Daniel B. Channell, M.d., Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Aug 12, 2010
Last Updated
Aug 12, 2010

Practice Location

Address
600 N MOUNTAIN AVE
Address 2
SUITE C102
City
Upland
ZIP Code
91786-4359
Phone
(909) 981-4955

Authorized Official

Name
DR. DANIEL BROOK CHANNELL, M.D.
Title
PHYSICIAN/PRESIDENT
Phone
(909) 981-4955

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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