Fay Bagarinao

NPI #1790898575 in Bethalto, Illinois

Provider Information

NPI Number: 1790898575
Entity Type: Individual
Name: Fay Bagarinao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 155 E BETHALTO DR
City: Bethalto
State: Illinois
ZIP Code: 62010-1801
Phone: (618) 377-8961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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