Provider Demographics
NPI:1245624600
Name:TOZOUR, DANIEL JR ((RT) R)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:TOZOUR
Suffix:JR
Gender:M
Credentials:(RT) R
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1717 SHIPYARD BLVD.
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:910-799-0110
Mailing Address - Fax:910-799-1958
Practice Address - Street 1:1717 SHIPYARD BLVD.
Practice Address - Street 2:SUITE 350
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-799-0110
Practice Address - Fax:910-799-1958
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography