Provider Demographics
NPI:1285121061
Name:ALLEN-HERRIED, DANIELLE LEE (DO)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LEE
Last Name:ALLEN-HERRIED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:LEE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 10097
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85130-0020
Mailing Address - Country:US
Mailing Address - Phone:520-836-3446
Mailing Address - Fax:520-836-8807
Practice Address - Street 1:655 S DOBSON RD STE 201
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5669
Practice Address - Country:US
Practice Address - Phone:480-307-9477
Practice Address - Fax:480-389-1700
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ009586207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology