Individual
MR. RICHARD EVANS BAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN/NP
Contact information
Practice address
331 E FALMOUTH HWY, EAST FALMOUTH, MA 02536-6039
(508) 495-0704
Mailing address
83 BARNABAS RD, FALMOUTH, MA 02540-1841
(508) 566-1554
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN264769
MA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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