Michael James Bagley, IDC

NPI #1609088830 in Honolulu, Hawaii

Provider Information

NPI Number
1609088830
Entity Type
Individual
Name
Michael James Bagley, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4922 KAMEHAMEHA LOOP
State
Hawaii
ZIP Code
96818-5033
Phone
(808) 218-3650

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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