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Individual
DAVID L BAGNALL
Active
Individual
DAVID L BAGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
199397-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010007802
UNIVERAHEALTHCARE
NY
01
—
000523745005
BLUE CROSS/COMMUNITY BLUE
NY
01
—
3007272
INDEPENDENT HEALTH
NY
Enumeration date
10/12/2005
Last updated
10/16/2015
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