Provider Demographics
NPI:1891671772
Name:PANNOZZO, DANIEL JAMES JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAMES JOSEPH
Last Name:PANNOZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 BROCK ST SOUTH
Mailing Address - Street 2:UNIT # 2
Mailing Address - City:DUNDAS
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L9H 3G6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2077 WEST 42ND AVENUE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V6M 2B4
Practice Address - Country:CA
Practice Address - Phone:647-629-6230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA202278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine