Basic Information
Provider Information
NPI: 1619496007
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMESTO
FirstName: DANIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RVT
OtherOrganizationName:  
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Mailing Information
Address1: 211 S 6TH ST
Address2:  
City: SAINT MARYS
State: KS
PostalCode: 665361704
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2200 SW GAGE BLVD
Address2:  
City: TOPEKA
State: KS
PostalCode: 666220001
CountryCode: US
TelephoneNumber: 7853503111
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/17/2017
LastUpdateDate: 09/17/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
246XS1301X188631KSY Technologists, Technicians & Other Technical Service ProvidersSpec/Tech, CardiovascularSonography

No ID Information.


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