Individual
ALEXANDER BAGNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
753 HORIZON VIEW DR, LAS CRUCES, NM 88011-8651
(928) 322-5265
Mailing address
753 HORIZON VIEW DR, LAS CRUCES, NM 88011-8651
(928) 322-5265
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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