Provider Demographics
NPI:1871527911
Name:DEWSNUP, DANIEL HAMPTON
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HAMPTON
Last Name:DEWSNUP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3362 HONEYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-4651
Mailing Address - Country:US
Mailing Address - Phone:541-485-1842
Mailing Address - Fax:541-440-1344
Practice Address - Street 1:913 NW GARDEN VALLEY BLVD
Practice Address - Street 2:VA ROSEBURG MEDICAL CENTER
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-6523
Practice Address - Country:US
Practice Address - Phone:541-440-1000
Practice Address - Fax:541-440-1000
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO20313207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease