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Organization
DAVID L. BAGNALL MD PC
Active
Organization
DAVID L. BAGNALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BAGNALL MD (PRESIDENT)
(716) 250-6454
Entity
Organization
Contact information
Practice address
3980 SHERIDAN DR, BUILDING A SUITE 102, AMHERST, NY 14226-1727
(716) 250-6545
(716) 250-6566
Mailing address
3980 SHERIDAN DR, BUILDING A SUITE 102, AMHERST, NY 14226-1727
(716) 250-6545
(716) 250-6566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1993971
NY
Other
Enumeration date
12/13/2007
Last updated
09/01/2009
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