Individual
DR. BENIGNO WALDO A DAGAN
Active
Individual
DR. BENIGNO WALDO A DAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00036169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185591
L & I PROVIDER NUMBER
WA
05
—
2004507
—
WA
01
—
5496722
AETNA PROVIDER NUMBER
WA
01
—
911203494BP
KPS PROVIDER NUMBER
WA
01
—
98390A015
TRICARE PROVIDER NUMBER
WA
01
—
9869DA
REGENCE RIDER NUMBER
WA
Enumeration date
05/19/2006
Last updated
05/10/2011
Update your record
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