Basic Information
Provider Information
NPI: 1952339749
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GURLEY
FirstName: DANIEL
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 741331
Address2:  
City: ATLANTA
State: GA
PostalCode: 303741331
CountryCode: US
TelephoneNumber: 9134690503
FaxNumber: 9134695267
Practice Location
Address1: 10600 MASTIN ST
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662125723
CountryCode: US
TelephoneNumber: 9134696447
FaxNumber: 9133381311
Other Information
ProviderEnumerationDate: 06/29/2006
LastUpdateDate: 01/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X2002005840MON Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X04-27039KSY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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