Individual
ANDREW MYLES TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
819 S 13TH ST, MOUNT VERNON, WA 98274-4112
(360) 814-6230
Mailing address
819 S 13TH ST, MOUNT VERNON, WA 98274-4112
(360) 814-6230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL61434148
WA
Other
Enumeration date
04/11/2023
Last updated
07/10/2023
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