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Organization
W. MICHAEL CARRAGHER III, DO INC.
Active
Organization
W. MICHAEL CARRAGHER III, DO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. MICHAEL CARRAGHER III D.O. (PRESIDENT)
(323) 874-9355
Entity
Organization
Contact information
Practice address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(805) 823-8204
Mailing address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(805) 823-8204
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
20A7692
CA
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/21/2007
Last updated
12/10/2009
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