Ernest a Bagner III MD INC

NPI #1497776314 in Glendale, California

Provider Information

NPI Number: 1497776314
Entity Type: Organization
Organization Name: Ernest a Bagner III MD INC
Primary Specialty: General Practice
Enumeration Date: Jul 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 541 W COLORADO ST
Address 2: 207
City: Glendale
State: California
ZIP Code: 91204-3638
Phone: (818) 291-9827

Authorized Official

Name: DR. ERNEST A BAGNER III, M.D.
Title: PRESIDENT
Phone: (818) 291-9827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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