Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL GERARDO IZQUIERDO, PA
Active Sole ProprietorDANIEL GERARDO IZQUIERDO, PA is a Surgical Physician Assistant healthcare provider located in FORT BENNING, Georgia. NPI 1942416292 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FORT BENNING, GA
Registration Details
- NPI Number
- 1942416292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.249536943632 yrs)
- Last Updated
- Mar 13, 2019
- License
-
PA11409 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
MARTIN ARMY COMMUNITY HOSPITALFORT BENNING, GA, 31905Browse GA providers · Browse ZIP 31905
- Phone
- 7065442258
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.