Provider Demographics
NPI:1215913777
Name:STEWART, DANIEL (DPM)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:STEWART
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1951 EVELYN BYRD AVE
Mailing Address - Street 2:STE F
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3483
Mailing Address - Country:US
Mailing Address - Phone:540-568-9891
Mailing Address - Fax:540-433-9859
Practice Address - Street 1:1951 EVELYN BYRD AVE
Practice Address - Street 2:STE F
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3483
Practice Address - Country:US
Practice Address - Phone:540-568-9891
Practice Address - Fax:540-433-9859
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000894213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU21128Medicare UPIN
VA480000692Medicare ID - Type Unspecified