| Robert Patrick Daze, DO | |
|
859 E Foothill Blvd Ste B, Upland, CA 91786-4085 | |
| (909) 981-8929 | |
| (909) 946-9740 |
| Full Name | Robert Patrick Daze |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 859 E Foothill Blvd Ste B, Upland, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326535741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 25751 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Health | Noblesville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 650 |
| Entity Name | Forefront Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659796225 PECOS PAC ID: 3779471701 Enrollment ID: O20140425001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Patrick Daze, DO 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Robert Patrick Daze, DO 859 E Foothill Blvd Ste B, Upland, CA 91786-4085 Ph: (909) 981-8929 |
Andrea Paola Passalacqua, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 886 W Foothill Blvd Ste G, Upland, CA 91786 Phone: 909-949-6500 Fax: 909-946-1133 |
Tan Khac Nguyen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd, Suite 207, Upland, CA 91786 Phone: 909-946-8600 Fax: 909-946-8604 |
Dr. Sandra Lee Rebish, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 859 E Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-981-8929 Fax: 909-946-9740 |
Dr. Ronald Demetri Liskanich, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 954 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-949-7500 Fax: 909-946-1133 |
Dr. Arthur Stanley Zimmermann, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 930 E Foothill Blvd, Suite 1, Upland, CA 91786 Phone: 909-946-7271 Fax: 909-949-0831 |
Jeffrey Craig Rebish, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 859 E Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-981-8929 Fax: 909-946-9740 |
Dr. Gloria Jane Stevens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 954 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-949-7500 Fax: 909-946-1133 |