Individual
MR. JAMES DEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
909 SUMMER STREET, STONGHTON, MA 02072
(781) 297-8261
(508) 580-4444
Mailing address
1020 PLEASANT STREET, BROCKTON, MA 02301
(508) 586-7706
(508) 580-4444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1537
MA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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