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
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
20A7692
CA
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/21/2007
Last updated
12/10/2009
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